Individual
ANNA MORIAH GROTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
20 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-5401
(859) 341-7246
Mailing address
3106 ASPEN PINES DRIVE, WILDER, KY 41071
(304) 546-8046
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
376533
OH
163W00000X
Registered Nurse
78754
WV
367500000X
Certified Registered Nurse Anesthetist
Primary
1143511
KY
Other
Enumeration date
03/17/2015
Last updated
08/29/2017
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