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Individual
ARDEN GROSS
Active
Individual
ARDEN GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704434753
MI
363L00000X
Nurse Practitioner
SP000
PA
Other
Enumeration date
08/08/2022
Last updated
03/13/2026
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