Individual provider · Type 1 NPI
Elizabeth Gruber
Psychiatric/Mental Health Nurse Practitioner · San Rafael, CA
NPI number
1104518570
Active
Practice location
1466 Lincoln Ave
San Rafael, CA 94901-2021
Mailing address
18 2nd St Unit A
Sausalito, CA 94965-2542
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APN.0998727-NP (CO) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 95033940 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1104518570
Elizabeth Gruber's National Provider Identifier is 1104518570, issued on May 24, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in San Rafael, CA. The record was last updated on Mar 7, 2025.