Anariza Grush
Nurse Practitioner in Farmington, NM. Individual provider (NPI-1).
NPI number1013306166
StatusActive
Last updated in NPPESFeb 5, 2024
Details
- NPI
- 1013306166
- Entity type
- Individual (NPI-1)
- Name
- Anariza Grush
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 13, 2015
- Certification date
- Feb 5, 2024
- Last updated
- Feb 5, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | CNP-02554 | NM | Yes |
| 363LC1500X | Nurse Practitioner, Community Health | CNP-02554 | NM |
Practice location
1001 W BroadwayFarmington, NM 87401-5638
Phone 505-327-4796
Mailing address
6405 S 3000 E Ste 201Salt Lake City, UT 84121-6990
Phone 801-266-3113 · Fax 801-266-5633
Other practice locations
4740 N Butler Ave
Farmington, NM 87401
Farmington, NM 87401
Phone 505-324-6300 · Fax 505-327-2218
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