Doctor Name: | MRS. JUNE ELIZABETH GRUBB |
NPI Number: | 1306008206 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RNCWHNP |
License Number: | 3186P |
Business Practice Address: | 1710 East Us Hwy 60 Grayson, KY - 411430919 |
Business Phone Number: | 6064745109 |
Business Fax Number: | 6064744217 |
Mailing Address: | Po Box 909, Courthouse GRAYSON |
State: | KY |
Postal Code: | 411430909 |
Phone Number: | 6064746685 |
Fax Number: | 6064740256 |
NPI Enumeration Date: | 07/01/2008 |
NPI Last Update Date: | 07/01/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | 3186P |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |