Bethany Grupido, RN
Nurse Anesthetist, Certified Registered in Clarkston, MI. Individual provider (NPI-1).
NPI number1164094140
StatusActive
Last updated in NPPESApr 11, 2023
Details
- NPI
- 1164094140
- Entity type
- Individual (NPI-1)
- Name
- Bethany Grupido
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 11, 2021
- Certification date
- Apr 11, 2023
- Last updated
- Apr 11, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704292923 | MI | Yes |
| 163W00000X | Registered Nurse | 4704292923 | MI |
Practice location
5870 Pine Knob RdClarkston, MI 48346-3281
Phone 248-705-3372
Mailing address
5870 Pine Knob RdClarkston, MI 48346-3281
Phone 248-705-3372
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All 7 Certified Registered Nurse Anesthetist providers in Clarkston · All 1,567 providers in Clarkston
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