Provider Demographics
NPI:1083048078
Name:GREWING, TONI L (RN)
Entity Type:Individual
Prefix:
First Name:TONI
Middle Name:L
Last Name:GREWING
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:419 S 2ND ST
Mailing Address - Street 2:STE 2
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98057-2017
Mailing Address - Country:US
Mailing Address - Phone:425-203-7200
Mailing Address - Fax:
Practice Address - Street 1:419 S 2ND ST
Practice Address - Street 2:STE 2
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98057-2017
Practice Address - Country:US
Practice Address - Phone:425-203-7200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-26
Last Update Date:2013-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO124521163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse