Individual
KIRSTEN MARY GRUETER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
520 E 70TH ST # KK-208, NEW YORK, NY 10021-9800
(646) 962-4620
Mailing address
PO BOX 29234, NEW YORK, NY 10087-9234
(646) 962-4620
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
309190
NY
Other
Enumeration date
07/01/2019
Last updated
04/13/2021
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