Ms Misty Rose Gruby, LPN is a
Licensed Practical Nurse based in Westernville, New York. Ms Misty Rose Gruby is licensed to practice in New York (license number 268339-1) and her current practice location is
9647 River Rd, Westernville, New York. She can be reached at her office (for appointments etc.) via phone at
(315) 827-4219.
NPI number for Ms Misty Rose Gruby is 1730406828 and her current mailing address is 9647 River Rd, Westernville, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1730406828.
Provider's Profile
| Full Name | Ms Misty Rose Gruby |
|---|
| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | 9647 River Rd, Westernville, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1730406828
- Provider Enumeration Date: 04/28/2010
- Last Update Date: 04/28/2010
Medical Identifiers
Medical identifiers for Ms Misty Rose Gruby such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730406828 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 268339-1 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Misty Rose Gruby is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Misty Rose Gruby, LPN
9647 River Rd,
Westernville, NY 13486-1718
Ph: (315) 827-4219 | Ms Misty Rose Gruby, LPN
9647 River Rd,
Westernville, NY 13486-1718
Ph: (315) 827-4219 |
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