Provider Demographics
NPI:1407426505
Name:GRUBBS, KARINA GRACE (DNP, APRN, CRNA)
Entity Type:Individual
Prefix:MISS
First Name:KARINA
Middle Name:GRACE
Last Name:GRUBBS
Suffix:
Gender:F
Credentials:DNP, APRN, CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 RIVER REACH DR APT 221
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33315-1167
Mailing Address - Country:US
Mailing Address - Phone:954-665-9703
Mailing Address - Fax:
Practice Address - Street 1:1000 RIVER REACH DR APT 221
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33315-1167
Practice Address - Country:US
Practice Address - Phone:954-665-9703
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-30
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9390765390200000X
FL11017220367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program