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Contact Information

LAURA L L GRIBBELL, FNP
W14034 MELLVILLE STREET
ENGADINE, MI49827
 Phone: 906-477-6066
 Fax: 906-477-1052
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for LAURA L L GRIBBELL · (Female)

NPI Number 1093819278
Status Active
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 09/11/2006
Last updated 10/19/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4704169020
  • MI Medicaid 4569556
  • MI Other 500870240 BLUE CROSS BLUE SHIELD MI
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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