Tina D Gruner is a Nutrition, Renal in Madras, Oregon. Tina D Gruner practices all healthcare services and medical treatments related to Nutrition, Renal. The NPI Number for Tina D Gruner is 1801060991. The last update date is 2010-04-02.
Tina D Gruner's current location address is 480 Ne A St, Madras, Oregon. You can contact this provider via phone number 5414753882 and fax number 5414750610. The mailing address for Tina D Gruner is 480 Ne A St, Madras, Oregon. To know further, please read the information below!
Provider Profile Detail
Provider Name | Tina D Gruner |
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Address | 480 Ne A St, Madras, Oregon |
Phone Number | 5414753882 |
Fax Number | 5414750610 |
Sole Proprietor | N |
Credentials | CDE |
NPI Number Detail
NPI Number | 1801060991 |
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Provider Enumeration Date | 2008-04-18 |
Last Updated Date | 2010-04-02 |
Provider Mailing Address Detail
Address | 480 Ne A St |
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City | Madras |
State | Oregon (OR) |
Post Code | 977411844 |
Phone Number | 5414753882 |
Fax Number | 5414750610 |
Provider's Primary Taxonomy Detail
Speciality | Nutrition, Renal |
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Taxonomy | 133Vn1005X |
Licence No | 618978 |
Definition: An individual who is a Board Certified Specialist in Renal Nutrition and works directly with adult and/or pediatric patients with acute kidney injury, chronic kidney disease (CKD) stages 1-5, or receiving renal replacement therapies (dialysis/transpl |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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151024 | OR | -- | |
618978 | OR | ADA MEMBERSHIP |
Post Comment/ Review Below
What is the unique identification code assigned to Tina D Gruner by the Centers for Medicare & Medicaid Services?
The Tina D Gruner has been issued the NPI (National Provider Identifier) 1801060991. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Tina D Gruner's facilities are geographically located?
The facilities of Tina D Gruner are physically situated at the following location: 480 Ne A St, Madras, OR, 977411844.
What is Tina D Gruner's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Tina D Gruner is Nutrition, Renal, and the taxonomy code that categorizes this field of expertise is 133Vn1005X.
On what date did the Tina D Gruner receive the assignment of its 1801060991 from the Centers for Medicare & Medicaid Services?
The Tina D Gruner was issued its 1801060991 by the Centers for Medicare & Medicaid Services on 2008-04-18.
As of what date were the details related to Tina D Gruner most recently updated or revised?
The information pertaining to Tina D Gruner, including its address, specialty, and other relevant details, was last updated or revised on 2010-04-02.