Doctor Name: | ANN R GRUNTHALER |
NPI Number: | 1396780326 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.P.N. |
License Number: | P004478 |
Business Practice Address: | 180 Aroostook Ave Millinocket, ME - 04462 |
Business Phone Number: | 2077236551 |
Business Fax Number: | 2077236550 |
Mailing Address: | Po Box 500, PATTEN |
State: | ME |
Postal Code: | 047650500 |
Phone Number: | 2075282285 |
Fax Number: | 2075282880 |
NPI Enumeration Date: | 06/16/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 164W00000X |
License Number: | P004478 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Licensed Practical Nurse |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |