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Individual
LISABETH P GROVE
Active
Individual
LISABETH P GROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC,
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704236203
MI
363L00000X
Nurse Practitioner
Primary
4704236203
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704236203
MI
Other
Enumeration date
05/13/2015
Last updated
02/23/2026
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