Individual
LINDA K GROSSGLAUSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNC, MSN, NNP
Contact information
Practice address
10010 KENNERLY RD, SAINT LOUIS, MO 63128-2106
(314) 525-4859
Mailing address
529 CYRIL DR, SAINT LOUIS, MO 63119-1316
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
079617
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
950005
—
MO
Enumeration date
03/17/2008
Last updated
03/17/2008
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