KATHERINE WARGO GRUSKAY PNP NPI 1053840546

NPI Information

NPI: 1053840546
Provider Name: KATHERINE WARGO GRUSKAY, PNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
682 E MAIN ST
BRANFORD, CT
ZIP 06405
Phone: (203) 481-5591
Get Directions

Katherine Wargo Gruskay, PNP is a pediatrics nurse practitioner in Branford, CT. Katherine Wargo Gruskay, PNP NPI is 1053840546. 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:

682 E MAIN ST
BRANFORD, CT
ZIP 06405-907
Phone: (203) 481-5591

The NPI 1053840546 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/8/2017 and was last updated on 11/22/2022.

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		10.129329	CONNECTICUT	No
2	163W00000X	Registered Nurse		71152	NEW YORK	No
3	363LP0200X	Nurse Practitioner	Pediatrics	9928	CONNECTICUT	Yes
4	363LP0200X	Nurse Practitioner	Pediatrics	382784	NEW YORK	No

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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