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Individual

NANCY ANN GROSSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, MS, FNP

Contact information

Practice address
2425 MILITARY ST, BUILDING 2, PORT HURON, MI 48060-6692
(810) 984-5700
(810) 984-1886
Mailing address
2425 MILITARY ST, BUILDING 2, PORT HURON, MI 48060-6692
(810) 984-5700
(810) 984-1886

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704159116
MI
363LF0000X
Family Nurse Practitioner
4704159116
MI

Other

Enumeration date
11/13/2006
Last updated
06/11/2015
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