Individual provider · Type 1 NPI
Grace Elizabeth Gryzlo, MSN
Pediatric Nurse Practitioner · St. Louis, MO
NPI number
1316463524
Active
Practice location
1 Childrens Pl
St. Louis, MO 63110-1002
Mailing address
4447 Pershing Ave
St. Louis, MO 63108-2507
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 2017025300 (MO) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1316463524
Grace Elizabeth Gryzlo, MSN's National Provider Identifier is 1316463524, issued on Aug 18, 2017. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in St. Louis, MO. The record was last updated on Aug 18, 2017.