| Doctor Name: | DEBORAH A GRONEWALD |
| NPI Number: | 1003833591 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, MSN, NP, CDE |
| License Number: | APN0000005219 |
| Business Practice Address: | 751 Spruce St Morristown, TN - 378135812 |
| Business Phone Number: | 4235814618 |
| Business Fax Number: | 4233179428 |
| Mailing Address: | 751 Spruce St, MORRISTOWN |
| State: | TN |
| Postal Code: | 378135812 |
| Phone Number: | 4235814618 |
| Fax Number: | 4233179428 |
| NPI Enumeration Date: | 07/17/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | APN0000005219 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |