CAROL L GRUBER WHNP NPI 1861673733

NPI Information

NPI: 1861673733
Provider Name: CAROL L GRUBER, WHNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: MILLENNIUM PHYSICIAN GROUP LLC

PECOS Registration: Yes

Address:
1250 S 18TH ST STE 202
FERNANDINA BEACH, FL
ZIP 32034
Phone: (904) 277-4690
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Carol L Gruber, WHNP is a family nurse practitioner in Fernandina Beach, FL with 11 years of experience. Carol L Gruber, WHNP NPI is 1861673733. 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:

1250 S 18TH ST STE 202
FERNANDINA BEACH, FL
ZIP 32034-729
Phone: (904) 277-4690
Fax: (904) 277-8487

The NPI 1861673733 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 11/20/2007 and was last updated on 8/25/2020.

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	363LF0000X	Nurse Practitioner	Family	APRN9496660	FLORIDA	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	L0889	OTHER	FLORIDA	MEDICARE
2	F4PB8	OTHER	FLORIDA	BCBS

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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