Provider Demographics
NPI:1952113953
Name:GRUBBS-GAWITH, LOUANNA R
Entity type:Individual
Prefix:
First Name:LOUANNA
Middle Name:R
Last Name:GRUBBS-GAWITH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 84
Mailing Address - Street 2:
Mailing Address - City:BUSHNELL
Mailing Address - State:NE
Mailing Address - Zip Code:69128-0084
Mailing Address - Country:US
Mailing Address - Phone:307-286-4428
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 84
Practice Address - Street 2:
Practice Address - City:BUSHNELL
Practice Address - State:NE
Practice Address - Zip Code:69128-0084
Practice Address - Country:US
Practice Address - Phone:307-286-4428
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-25
Last Update Date:2025-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider
No372600000XNursing Service Related ProvidersAdult Companion