Individual
AMY LOUISE GRUBE
Active
Individual
AMY LOUISE GRUBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
10237
WV
363LF0000X
Family Nurse Practitioner
Primary
NP10237
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
282601
OHIO MEDICAID UNISON
OH
01
—
2878444
OHIO MEDICAID MOLINA
OH
05
—
2878444
—
OH
01
—
310917085217
OHIO MEDICAID CARESOURCE
OH
05
—
3810016002
—
WV
01
—
P00781887
RR MEDICARE
OH
Enumeration date
09/22/2008
Last updated
08/07/2014
Update your record
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