| Kane Daly Gronback, APRN | |
|
61087 E Sparkle Spur Pl, Catalina, AZ 85739-2507 | |
| (520) 395-7119 | |
| Not Available |
| Full Name | Kane Daly Gronback |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 61087 E Sparkle Spur Pl, Catalina, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356789226 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP5035 (Arizona) | Primary |
| Entity Name | Nextcare Arizona Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043371826 PECOS PAC ID: 9537161260 Enrollment ID: O20070209000357 |
| Entity Name | Good Health Medical Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144764432 PECOS PAC ID: 3779680962 Enrollment ID: O20070523000237 |
| Entity Name | Community Intervention Associates Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518250620 PECOS PAC ID: 4880851971 Enrollment ID: O20120201000213 |
| Entity Name | Northwest Hbp Medical Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407353006 PECOS PAC ID: 8921356536 Enrollment ID: O20180730001756 |
| Mailing Address | Practice Location Address |
|---|---|
| Kane Daly Gronback, APRN 61087 E Sparkle Spur Pl, Catalina, AZ 85739-2507 Ph: (520) 395-7119 | Kane Daly Gronback, APRN 61087 E Sparkle Spur Pl, Catalina, AZ 85739-2507 Ph: (520) 395-7119 |
Danielle Nicole Clark, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15631 N Oracle Rd Ste 165, Catalina, AZ 85739 Phone: 520-780-0304 |