Gruwell, Amy Marie

Gruwell, Amy Marie is an individual health care provider with primary practice located at 1900 E 1St St , Casper WY 82601-2747. 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. Gruwell, Amy Marie can be contacted via phone (307) 577-7737.

Contact Information

Primary practice address
1900 E 1St St Casper WY 82601-2747
Fax: (307) 577-0049
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 19507.318 Wyoming

Profile Details

NPI number 1699761585
LBN Legal business name Gruwell, Amy Marie
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated May 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 1699761585 NPPES
Wyoming Other 315275 BC/BS
Wyoming Other 611665901 BC/BS
Wyoming MEDICAID 120223500 BC/BS

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