SERENA GRUBA NPI 1164886867

NPI Information

NPI: 1164886867
Provider Name: SERENA GRUBA
Classification: Registered Nurse - 163WC0400X
Entity Type: Individual

Specialization: Case Management

Address:
9040 JACKSON AVE
TACOMA, WA
ZIP 98431
Phone: (253) 477-3456
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Serena Gruba is a case management registered nurse in Tacoma, WA. Serena Gruba NPI is 1164886867. 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:

9040 JACKSON AVE
TACOMA, WA
ZIP 98431-001
Phone: (253) 477-3456
Fax: (253) 967-2639

The enumeration date for this NPI number is 4/8/2016 and was last updated on 5/19/2022.

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	163W00000X	Registered Nurse		RN175943	GEORGIA	No
2	163WC0400X	Registered Nurse	Case Management	RN175943	GEORGIA	Yes

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: 4/28/2024

NPI Synchronization or Removal

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