National Provider Identifier
Kimberly Ann Gruber
Kimberly Ann Gruber is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Buffalo, NY and a listed phone number of (716) 893-1010.
Profile Overview
- NPI
- 1073907713
- Provider Type
- Individual
- Primary Specialty
- Family Nurse Practitioner
- Enumeration Date
- March 19, 2015
- Last Updated
- January 09, 2018
Practice Location
- 640 Ellicott St
- Suite 105
- Buffalo, NY 14203-1245
Phone: (716) 893-1010
Mailing Address
- 1150 Youngs RD
- Ste 104
- Williamsville, NY 14221-8024
Specialties
- Family Nurse Practitioner (363LF0000X)
Full Record
- NPI
- 1073907713
- Entity Type
- Individual
- Last Name
- Gruber
- First Name
- Kimberly
- Middle Name
- Ann
- Mailing Street Address
- 1150 Youngs RD
- Mailing Address Line 2
- Ste 104
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-8024
- Mailing Country
- US
- Mailing Phone
- (716) 636-7990
- Mailing Fax
- (716) 636-7990
- Practice Street Address
- 640 Ellicott St
- Practice Address Line 2
- Suite 105
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14203-1245
- Practice Country
- US
- Practice Phone
- (716) 893-1010
- Enumeration Date
- March 19, 2015
- Last Updated
- January 09, 2018
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Nurse Practitioner (363LF0000X)