Sarah Gruis, | |
25 Professional Park, Erwin, NC 28339 | |
(910) 292-4097 | |
Not Available |
Full Name | Sarah Gruis |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 25 Professional Park, Erwin, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649982083 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 293103 (North Carolina) | Primary |
Entity Name | Mainstreet And Kidsstreet Of North Carolina Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144803040 PECOS PAC ID: 6901290238 Enrollment ID: O20220302000414 |
Mailing Address | Practice Location Address |
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Sarah Gruis, 1500 1st Ave N Unit 3, Birmingham, AL 35203-1866 Ph: () - | Sarah Gruis, 25 Professional Park, Erwin, NC 28339 Ph: (910) 292-4097 |
Amy Lamb Ennis, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 518 E H St, Erwin, NC 28339 Phone: 910-897-5591 | |
Mrs. Ashley A Irons, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 901 Denim Dr, Erwin, NC 28339 Phone: 910-897-5521 | |
Cynthia Dawn Lee, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 518 E H St, Erwin, NC 28339 Phone: 910-897-4551 Fax: 910-897-2218 |