Doctor Name: | ELIZABETH GRUBER |
NPI Number: | 1487041844 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, MSN |
License Number: | RN198037 |
Business Practice Address: | 6 Kendall Vlg Cohasset, MA - 020251953 |
Business Phone Number: | 7813832317 |
Business Fax Number: | |
Mailing Address: | 6 Kendall Vlg, COHASSET |
State: | MA |
Postal Code: | 020251953 |
Phone Number: | 7813832317 |
Fax Number: | |
NPI Enumeration Date: | 04/22/2015 |
NPI Last Update Date: | 04/22/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0809X |
License Number: | RN198037 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health, Adult |
Taxonomy Definition: |