Individual
BETH ANN GRUZINSKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1340 BROAD AVE STE 330, GULFPORT, MS 39501-2464
(228) 575-1234
(228) 867-4828
Mailing address
7 WOOD PL, BAY ST LOUIS, MS 39520-2836
(228) 216-5737
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R853237
MS
Other
Enumeration date
01/14/2015
Last updated
12/02/2020
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