Individual provider · Type 1 NPI

Shannon Grube

Acute Care Nurse Practitioner · Charleston, SC

NPI number 1558050559 Active

Practice location

25 Courtenay Drive Ashely River Tower Suite 4200
Charleston, SC 29425-0001

Call (843) 876-5744 Map

Mailing address

211 River Landing Dr Unit 156
Daniel Island, SC 29492-8566

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100X27122 (SC)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1558050559

Shannon Grube's National Provider Identifier is 1558050559, issued on May 4, 2023. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Charleston, SC. The record was last updated on May 4, 2023.