MRS. LORA GRUTKOWSKI, RN FNP-BC ACNS-BC

Nurse Practitioner

Active Individual
NPI: 1134280464

Practice Address

5883 VINE HILL ROAD
Sebastopol, CA 95472

Phone: (707) 824-8200

Specialties

Specialty Code Primary License
Registered Nurse 163W00000X No RN #365475 (CA)
Registered Nurse - Registered Nurse First Assistant 163WR0006X No RN #365475 (CA)
Clinical Nurse Specialist 364S00000X No CNS #1381 (CA)
Nurse Practitioner 363L00000X Yes NP #18178 (CA)

Frequently Asked Questions

NPI 1134280464 is the National Provider Identifier for MRS. LORA GRUTKOWSKI, RN FNP-BC ACNS-BC, a Nurse Practitioner provider located in Sebastopol, CA. This NPI was enumerated on December 12, 2006.
MRS. LORA GRUTKOWSKI, RN FNP-BC ACNS-BC practices at 5883 VINE HILL ROAD, Sebastopol, CA 95472.

Quick Facts

NPI
1134280464
Type
Individual
Enumerated
Dec 12, 2006
Last Updated
Sep 24, 2008

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