Individual
LINDA L GRUIDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3482 BROADWAY ST, BOULDER, CO 80304-1824
(303) 413-7500
(303) 413-7505
Mailing address
3450 BROADWAY ST, BOULDER, CO 80304-1824
(303) 441-1175
(303) 441-1452
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
38213
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07382138
—
CO
Enumeration date
02/07/2008
Last updated
02/07/2008
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