Most Relevant Information
Provider Data
| NPI Number: | 1003501370 |
| Provider Name: | BRENDA LEA GRINDSTAFF LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 44771 |
Most Important Dates
| Enumeration Date: | 04/11/2023 |
| Last Updated: | 04/11/2023 |
Provider Practice Location
1169 SOUTHWIND DR
JUNCTION CITY
KS
664412644
Practice Location Phone/Fax
| Phone: | 7853504670 |
| Fax: | 7853504688 |
Provider Mailing Location
2200 SW GAGE BLVD
TOPEKA
KS
666220001
Provider Mailing Phone/Fax
| Phone: | 7853503111 |
| Fax: | 7853504688 |