Doctor Name: | ARIANE MARGARET GRUDZINA |
NPI Number: | 1003121815 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 160774-30 |
Business Practice Address: | 615 W Moreland Blvd Waukesha, WI - 531882462 |
Business Phone Number: | 2628658465 |
Business Fax Number: | |
Mailing Address: | 500 Riverview Ave, WAUKESHA |
State: | WI |
Postal Code: | 531883632 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 08/17/2010 |
NPI Last Update Date: | 11/12/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC1500X |
License Number: | 160774-30 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |