Healthcare Provider Details

I. General information

NPI: 1821650953
Provider Name (Legal Business Name): NURSEFITBODY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2019
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

79 E. BROADWAY
DERRY NH
03038
US

IV. Provider business mailing address

79 E. BROADWAY
DERRY NH
03038
US

V. Phone/Fax

Practice location:
  • Phone: 603-216-9296
  • Fax: 603-216-9297
Mailing address:
  • Phone: 603-216-9296
  • Fax: 603-216-9297

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. MARIA GRUNING
Title or Position: OWNER/REGISTERED NURSE
Credential: RN
Phone: 978-376-7569