Nicole Marie Grunthaner, PA-C Valid NPI

Individual provider · Physician Assistant · Du Bois, PA

NPI

1952686784

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

MA055234 (PA)

Sex

Female

Sole proprietor

No

Enumerated

2011-10-12

Last updated

2022-12-13