Individual provider · Type 1 NPI

Alyssa Jane Grundon

Obstetrics & Gynecology Nurse Practitioner · Orlando, FL

NPI number 1154963809 Active

Practice location

1705 Kuhl Ave
Orlando, FL 32806-2024

Fax (321) 841-8977

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Nurse Practitioner Primary 363LX0001XAPRN11015726 (FL)
Registered Nurse 163W00000XRN9408793 (FL)

Obstetrics & Gynecology Nurse Practitioner: Definition to come...

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About NPI 1154963809

Alyssa Jane Grundon's National Provider Identifier is 1154963809, issued on Oct 15, 2019. The primary taxonomy on file is Obstetrics & Gynecology Nurse Practitioner (363LX0001X), and the practice location is in Orlando, FL. The record was last updated on Sep 8, 2026.