Individual
NINA ELIZABETH GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
28 GREENFIELD LN, BIDDEFORD, ME 04005-3914
(207) 737-9577
Mailing address
28 GREENFIELD LN, BIDDEFORD, ME 04005-3914
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
CNP241355
ME
Other
Enumeration date
07/03/2024
Last updated
07/03/2024
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