Frederick Grubstad Valid NPI

Individual provider · Psychiatric/Mental Health Nurse Practitioner · Campo, CA

NPI

1477039667

Type

Individual (Type 1)

Primary specialty

Psychiatric/Mental Health Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LP0808X

License number

95019498 (CA)

Sex

Male

Sole proprietor

Yes

Enumerated

2018-07-11

Last updated

2022-07-18