Individual provider · Type 1 NPI

Mark Richard Gruidl, NP

Nurse Practitioner · Templeton, CA

NPI number 1427045848 Active

Practice location

1020 Fava Ct
Templeton, CA 93465-3826

Fax (805) 434-0308

Mailing address

PO Box 2677
Atascadero, CA 93423-2677

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNP8286 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1427045848

Mark Richard Gruidl, NP's National Provider Identifier is 1427045848, issued on Sep 30, 2005. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Templeton, CA. The record was last updated on Jan 4, 2012.