Individual provider · Type 1 NPI

Adriana Elise Grubke, CPNP-PC

Pediatric Nurse Practitioner · Dearborn Heights, MI

NPI number 1417554106 Active

Practice location

22318 Ford Rd
Dearborn Heights, MI 48127-2421

Call (313) 278-2788 Map

Mailing address

8742 W Park Ridge Cir
Newport, MI 48166-9289

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X4704341112 (MI)

Pediatric Nurse Practitioner: Definition to come...

8 other providers at this address

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About NPI 1417554106

Adriana Elise Grubke, CPNP-PC's National Provider Identifier is 1417554106, issued on Oct 6, 2020. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Dearborn Heights, MI. The record was last updated on Jul 8, 2022.