| Doctor Name: | MARY JOYCE GRUBB |
| NPI Number: | 1164726543 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-C |
| License Number: | AP3828 |
| Business Practice Address: | 10633 E Apache Trl Suite 106 Apache Junction, AZ - 851203383 |
| Business Phone Number: | 4809841542 |
| Business Fax Number: | 4809866436 |
| Mailing Address: | 10633 E Apache Trl, Suite 106 APACHE JUNCTION |
| State: | AZ |
| Postal Code: | 851203383 |
| Phone Number: | 4809841542 |
| Fax Number: | 4809866436 |
| NPI Enumeration Date: | 12/29/2010 |
| NPI Last Update Date: | 10/03/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | AP3828 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |