Doctor Name: | MEGAN GRUBER |
NPI Number: | 1558528364 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | 200340162RN |
Business Practice Address: | 302 36th St Bellingham, WA - 982256580 |
Business Phone Number: | 3607569793 |
Business Fax Number: | 3607529007 |
Mailing Address: | Po Box 2266, BELLINGHAM |
State: | WA |
Postal Code: | 982272266 |
Phone Number: | 3607569793 |
Fax Number: | 3607529007 |
NPI Enumeration Date: | 05/20/2008 |
NPI Last Update Date: | 10/19/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 200340162RN |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OR |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |