Provider Demographics
NPI:1699876003
Name:GRUBBS, LAURIE (ARNP)
Entity type:Individual
Prefix:
First Name:LAURIE
Middle Name:
Last Name:GRUBBS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 MICCOSUKEE ROAD
Mailing Address - Street 2:PALLIATIVE CARE DEPARTMENT
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32301-4542
Mailing Address - Country:US
Mailing Address - Phone:850-431-5868
Mailing Address - Fax:850-431-6449
Practice Address - Street 1:1300 MICCOSUKEE ROAD
Practice Address - Street 2:PALLIATIVE CARE DEPARTMENT
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32301-4542
Practice Address - Country:US
Practice Address - Phone:850-431-5868
Practice Address - Fax:850-431-6449
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2013-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP691892363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily