Individual
GLENDA KOUNS GRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1155 EAST MTN BLVD, WILKES BARRE, PA 18702-3375
(570) 808-6113
(570) 808-6349
Mailing address
1155 EAST MTN BLVD, WILKES BARRE, PA 18702-3375
(570) 808-6113
(570) 808-6349
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP9267118
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ARNP9267118
MEDICAL LICENCSE
FL
Enumeration date
03/25/2009
Last updated
07/21/2022
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