| Doctor Name: | DEBORAH GRUNTHANER |
| NPI Number: | 1043604507 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN,BSN,CDE |
| License Number: | RN525183L |
| Business Practice Address: | 1200 Wood St Brockway, PA - 158242118 |
| Business Phone Number: | 8142651111 |
| Business Fax Number: | |
| Mailing Address: | 470 W Creek Rd, SAINT MARYS |
| State: | PA |
| Postal Code: | 158573314 |
| Phone Number: | 8143354362 |
| Fax Number: | |
| NPI Enumeration Date: | 03/23/2015 |
| NPI Last Update Date: | 03/23/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WD0400X |
| License Number: | RN525183L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Diabetes Educator |
| Taxonomy Definition: | |