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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. TINA D GRUNER, CDE

Active

MRS. TINA D GRUNER, CDE is a Renal Nutrition healthcare provider located in MADRAS, Oregon. NPI 1801060991 is currently active in the NPPES registry. Verify at CMS.

Renal Nutrition · MADRAS, OR

Registration Details

NPI Number
1801060991
Provider Type
Individual
Gender
Female
NPI Issued
Apr 18, 2008 (18.343751752029 yrs)
Last Updated
Apr 2, 2010
Licenses
00618978 (DC)
00618978 (DC)

Practice Information

Address
480 NE A ST
MADRAS, OR, 977411844
Browse OR providers · Browse ZIP 97741
Phone
5414753882
Fax
5414750610
Primary Specialty
Renal Nutrition
133VN1005X
Additional Specialty
Renal Nutrition
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.