Provider Demographics
NPI:1396552733
Name:GRUNSKY, SARA EMILY (MSN, FNP-C)
Entity type:Individual
Prefix:MRS
First Name:SARA
Middle Name:EMILY
Last Name:GRUNSKY
Suffix:
Gender:F
Credentials:MSN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:508 WESTMINSTER DR
Mailing Address - Street 2:
Mailing Address - City:EAGLE POINT
Mailing Address - State:OR
Mailing Address - Zip Code:97524-9437
Mailing Address - Country:US
Mailing Address - Phone:412-277-1623
Mailing Address - Fax:
Practice Address - Street 1:827 SPRING ST
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:OR
Practice Address - Zip Code:97504-6104
Practice Address - Country:US
Practice Address - Phone:541-732-7600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-17
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR10034042363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner