DENISE J GRUCHALLA PA-C NPI 1083653414

NPI Information

NPI: 1083653414
Provider Name: DENISE J GRUCHALLA, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
3908 10TH ST SE
PUYALLUP, WA
ZIP 98374
Phone: (253) 848-5951
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Denise J Gruchalla, PA-C is a medical physician assistant in Puyallup, WA. Denise J Gruchalla, PA-C NPI is 1083653414. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3908 10TH ST SE
PUYALLUP, WA
ZIP 98374-188
Phone: (253) 848-5951
Fax: (253) 864-8954

The enumeration date for this NPI number is 6/4/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA10003351	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0200220	OTHER	WASHINGTON	LABOR AND INDUSTRIES
2	2732GR	OTHER	WASHINGTON	REGENCE RIDER
3	P71888	MEDICARE UPIN	WASHINGTON
4	8855865	MEDICARE ID-TYPE UNSPECIFIED	WASHINGTON
5	8906995	OTHER	WASHINGTON	LABOR AND INDUSTRIES VOC
6	8416265	MEDICAID	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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