| Sarah Gruis, | |
|
25 Professional Park, Erwin, NC 28339 | |
| (910) 292-4097 | |
| Not Available |
| Full Name | Sarah Gruis |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 25 Professional Park, Erwin, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649982083 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 293103 (North Carolina) | Primary |
| Entity Name | Unc Physicians Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750704367 PECOS PAC ID: 5496940546 Enrollment ID: O20101115000646 |
| Entity Name | Mainstreet And Kidsstreet Of North Carolina Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144803040 PECOS PAC ID: 6901290238 Enrollment ID: O20220302000414 |
| Mailing Address | Practice Location Address |
|---|---|
| Sarah Gruis, 1500 1st Ave N Unit 3, Birmingham, AL 35203-1866 Ph: () - | Sarah Gruis, 25 Professional Park, Erwin, NC 28339 Ph: (910) 292-4097 |
Anna Grace Stephenson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 25 Professional Park, Erwin, NC 28339 Phone: 910-292-4097 | |
Amy Lamb Ennis, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 518 E H St, Erwin, NC 28339 Phone: 910-897-5591 | |
Vernetta Jackson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 25 Professional Park, Erwin, NC 28339 Phone: 910-827-1126 | |
Mrs. Ashley A Irons, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 901 Denim Dr, Erwin, NC 28339 Phone: 910-897-5521 | |
Cynthia Dawn Lee, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 518 E H St, Erwin, NC 28339 Phone: 910-897-4551 Fax: 910-897-2218 |