Individual provider · Type 1 NPI

Mia Charmian Gruler, PA-C

Physician Assistant · Kingston, PA

NPI number 1174449722 Active

Practice location

390 Pierce St
Kingston, PA 18704-5532

Call (570) 288-3535 Map

Mailing address

930 Meadow Ave Apt 104
Scranton, PA 18505-2575

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1174449722

Mia Charmian Gruler, PA-C's National Provider Identifier is 1174449722, issued on Jun 27, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Kingston, PA. The record was last updated on Jun 27, 2026.