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Individual
TERRI LYNN LEISER-GROSS
Active
Individual
TERRI LYNN LEISER-GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNM
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9334983
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108745100
—
FL
01
—
12152659
MULTIPLAN
FL
01
—
1669446910
TRICARE
FL
01
—
2075021
CIGNA
FL
01
—
4UNO2
BLUE CROSS BLUE SHIELD - FLORIDA BLULE
FL
Enumeration date
02/14/2006
Last updated
03/30/2022
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