NICOLE MARIE GRUNTHANER

DU BOIS, PA
NPI1952686784
Former NameNICOLE MARIE WHALEN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: PA  MA055234)
Enumeration Date2011-10-12
Last Update Date2022-12-13
Business Address
NICOLE MARIE GRUNTHANER PA-C
123 HOSPITAL AVENUE
DU BOIS, PA 15801-1409
Phone number: 814-371-1510
Mailing Address
NICOLE MARIE GRUNTHANER PA-C
100 HOSPITAL AVE
DU BOIS, PA 15801-1440
Phone number: 814-371-2200