Amy Lynn Gruber
Family Doctor Family Doctor - Hospice and Palliative Medicine
214 E 23rd St
Cheyenne
, Wyoming 82001-3748
Amy Lynn Gruber
Family Doctor Family Doctor - Hospice and Palliative Medicine
214 E 23rd St
Cheyenne
, Wyoming 82001-3748
(307) 633-7952
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About
Features
Specialties
- Family Doctor
- Family Doctor - Hospice and Palliative Medicine
Languages spoken
- English
Location
First Address
- Amy Lynn Gruber
- Po Box 20970
- Cheyenne, WY
- Zip : 82003-7020
- Phone : (307) 633-7952
Second Address
- Amy Lynn Gruber
- 214 E 23rd St
- Cheyenne, WY
- Zip : 82001-3748
- Phone : (307) 633-7952
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | 3034A | WY |
| Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 3034A | WY |
National Provider Identifier
| NPI | 1124132352 |
|---|---|
| Provider Name | Amy Lynn Gruber |
| First Address | Cheyenne, WY 82003-7020 |
| Second Address | Cheyenne, WY 82001-3748 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/08/2006 |
| Last Update Date | 05/05/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 080001975 | RR MEDICARE (01) | |
| 105061300 | (05) | WY |
| 301252 | BCBS (01) | WY |
| A72995 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.