Provider Demographics
NPI:1720230675
Name:GRUBBS, PRETRESCIA MARIE (DNP, ACNP, APRN)
Entity Type:Individual
Prefix:DR
First Name:PRETRESCIA
Middle Name:MARIE
Last Name:GRUBBS
Suffix:
Gender:F
Credentials:DNP, ACNP, APRN
Other - Prefix:MRS
Other - First Name:PRETRESCIA
Other - Middle Name:MARIE
Other - Last Name:WALKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2 SAINT VINCENT CIR
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-5423
Mailing Address - Country:US
Mailing Address - Phone:501-552-3368
Mailing Address - Fax:501-552-4555
Practice Address - Street 1:CHI-ST. VINCENT INFIRMARY-HOSPITALIST GROUP
Practice Address - Street 2:2 SAINT VINCENT CIRCLE
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205
Practice Address - Country:US
Practice Address - Phone:501-552-3368
Practice Address - Fax:501-552-4555
Is Sole Proprietor?:No
Enumeration Date:2008-10-22
Last Update Date:2019-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARAO1609163W00000X
ARA01609363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No163W00000XNursing Service ProvidersRegistered Nurse