Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CANDICE RAE GRONBERG
Active Sole ProprietorCANDICE RAE GRONBERG is a Respite Care (Camp) healthcare provider located in LANDER, Wyoming. NPI 1356632087 is currently active in the NPPES registry. Verify at CMS.
Respite Care (Camp) · LANDER, WY
Registration Details
- NPI Number
- 1356632087
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 28, 2011 (15.313718191053 yrs)
- Last Updated
- Apr 28, 2011
- License
-
114858300 (WY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4 ROBERTS ROADLANDER, WY, 825201401Browse WY providers · Browse ZIP 82520
- Phone
- 3073329122
- Fax
- 3073329122
- Primary Specialty
-
Respite Care (Camp)
385HR2060X
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.