Individual
REBECCA J GROEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
10736 RANDOLPH ST, WINFIELD, IN 46307-7983
(219) 243-8140
Mailing address
PO BOX 306417, NASHVILLE, TN 37230-6417
(931) 253-1110
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71008790A
IN
363LF0000X
Family Nurse Practitioner
71008790A
IN
Other
Enumeration date
02/26/2019
Last updated
01/11/2024
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