Individual
DANIEL S GROVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
489 STATE ST, BANGOR, ME 04401-6616
(207) 973-4519
(207) 992-4132
Mailing address
141 N MAIN ST STE 205, BREWER, ME 04412-2055
(207) 992-4032
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AA083407
ME
367500000X
Certified Registered Nurse Anesthetist
ARNP1012562
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
304428900
—
FL
01
—
G1090
BCBS
—
01
—
ME1208
EMMC
ME
Enumeration date
06/02/2006
Last updated
04/25/2013
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