Individual
MEGAN M GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3375 LAKE RIDGE DR., DUBUQUE, IA 52003
(952) 270-8260
Mailing address
1225 KELLY LN, DUBUQUE, IA 52003-8542
(952) 270-8260
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
129015
IA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
B129015
IA
Other
Enumeration date
08/15/2012
Last updated
03/27/2018
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