Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. LORA LEE GRUTKOWSKI, RN FNP-BC ACNS-BC
Active Sole ProprietorMRS. LORA LEE GRUTKOWSKI, RN FNP-BC ACNS-BC is a Nurse Practitioner healthcare provider located in SEBASTOPOL, California. NPI 1134280464 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · SEBASTOPOL, CA
Registration Details
- NPI Number
- 1134280464
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 12, 2006 (19.704978726992 yrs)
- Last Updated
- Sep 24, 2008
- Licenses
-
RN #365475 (CA)RN #365475 (CA)CNS #1381 (CA)NP #18178 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5883 VINE HILL ROADSEBASTOPOL, CA, 95472Browse CA providers · Browse ZIP 95472
- Phone
- 7078248200
- Fax
- 7078235800
- Primary Specialty
-
Nurse Practitioner
363L00000X
- Additional Specialty
- Registered Nurse First Assistant
- Additional Specialty
- Clinical Nurse Specialist
- Additional Specialty
- Nurse Practitioner
Other Nurse Practitioner Providers in SEBASTOPOL, CA
| Name | Credential | NPI |
|---|---|---|
| MS. ELAINE WEIL | NP | 1154612687 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.