SHANNON GRUBE NPI 1558050559

NPI Information

NPI: 1558050559
Provider Name: SHANNON GRUBE
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
25 COURTENAY DRIVE ASHELY RIVER TOWER SUITE 4200
CHARLESTON, SC
ZIP 29425
Phone: (843) 876-5744
Get Directions

Shannon Grube is an acute care nurse practitioner in Charleston, SC with 2 years of experience. Shannon Grube NPI is 1558050559. 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:

25 COURTENAY DRIVE ASHELY RIVER TOWER SUITE 4200
CHARLESTON, SC
ZIP 29425-001
Phone: (843) 876-5744

The NPI 1558050559 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 5/4/2023 and was last updated on 5/4/2023.

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	363LA2100X	Nurse Practitioner	Acute Care	27122	SOUTH CAROLINA	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: 5/5/2024

NPI Synchronization or Removal

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