Organization
TINA GROSSMAN, LLC
Active
Other names
Goodwellness
Organization subpart
No
Provider details
NPI number
Authorized official
TINA GROSSMAN NP (OWNER)
(302) 540-2424
Entity
Organization
Contact information
Practice address
3510 SILVERSIDE RD STE 2, WILMINGTON, DE 19810-4937
(484) 416-4485
Mailing address
21 HILTON RD, WILMINGTON, DE 19810-4324
(302) 540-2424
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/02/2022
Last updated
02/16/2022
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