Gruenwald, Meredith J

Gruenwald, Meredith J is an individual health care provider with primary practice located at 211 Saint Francis Dr , Cape Girardeau MO 63703-5049. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Gruenwald, Meredith J can be contacted via phone (573) 339-1166.

Contact Information

Primary practice address
211 Saint Francis Dr Cape Girardeau MO 63703-5049
Phone: (573) 339-1166
Fax: (573) 339-7166
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 130792 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 2019038054 Missouri

Profile Details

NPI number 1760454888
LBN Legal business name Gruenwald, Meredith J
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Apr 23rd, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760454888 NPPES
Missouri MEDICAID 429419716

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