DataLabs

datalabs.health made in the usa

Contact us Sign in | Documentation |

divider

Medicare/Medicaid Verification Programs divider

divider

Medicare Verification Program divider

divider

1538101795

NPI Code Detail

MEDICARE: DR. NANCY A GRUBB MD

MEDICARE: DR. NANCY A GRUBB MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	MD00030218	WA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	080090744	OTHER	WA	MEDICARE RAIL ROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5210016	OTHER	WA	AETNA
2	GR9884	OTHER	WA	REGENCE RIDER
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	8933794	OTHER	WA	LABOR AND INDUSTRIES VOC
6	0109932	OTHER	WA	LABOR AND INDUSTRIES

General Provider Information

NPI Number	:	1538101795
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NANCY A GRUBB MD

Provider Business Mailing Address
First Line	:	3908 10TH ST SE
Second Line	:
City	:	PUYALLUP
State	:	WA
Zip	:	98374-2188
Country	:	US
Telephone Number	:	253-848-5951
Fax Number	:	253-864-8954

Provider Business Practice Location Address
First Line	:	611 31ST AVE SW
Second Line	:
City	:	PUYALLUP
State	:	WA
Zip	:	98373-3723
Country	:	US
Telephone Number	:	253-848-5951
Fax Number	:	253-845-7073

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/12/2006
Last Update Date	:	01/25/2016

Similar Medicare Providers

1164387056 — TIANA FULLER
Practice Location Address:

611 31ST AVE SW
PUYALLUP, WA
98373-3723

Practice Phone: 253-848-5951
Practice Fax:

1437120607 — MRS. JUDITH ANN KRONICK RPH
Practice Location Address:

611 31ST AVE SW
PUYALLUP, WA
98373-3723

Practice Phone: 253-445-7162
Practice Fax: 253-445-7163

1437122579 — DR. MURRAY EUGENE ROUSE DO
Practice Location Address:

611 31ST AVE SW
PUYALLUP, WA
98373-3723

Practice Phone: 253-445-7100
Practice Fax:

1588727846 — DR. KEVIN W TAGGART MD
Practice Location Address:

611 31ST AVE SW , STE. C
PUYALLUP, WA
98373-3723

Practice Phone: 253-848-5951
Practice Fax: 253-845-7073

1295892446 — STEPHEN F. DUNCAN M.D.
Practice Location Address:

611 31ST AVE SW
PUYALLUP, WA
98373-3723

Practice Phone: 253-445-7100
Practice Fax:

1699829465 — ANTHONY J KLAASSEN M.D.
Practice Location Address:

611 31ST AVE SW
PUYALLUP, WA
98373-3723

Practice Phone: 253-445-7100
Practice Fax:

Directions to “ DR. NANCY A GRUBB MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.