Grund-Epley, Kathleen Patricia

Grund-Epley, Kathleen Patricia is an individual health care provider with primary practice located at 2377 S 22Nd Dr , Yuma AZ 85364-8865. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Grund-Epley, Kathleen Patricia can be contacted via phone (928) 343-0488.

Contact Information

Primary practice address
2377 S 22Nd Dr Yuma AZ 85364-8865
Fax: (928) 782-0401
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN056646 Arizona

Profile Details

NPI number 1881621167
LBN Legal business name Grund-Epley, Kathleen Patricia
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated Nov 9th, 2012 - about 12 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 1881621167 NPPES
Arizona MEDICAID 341628

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