Individual
ANSLEY GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5720 1ST AVE S, BIRMINGHAM, AL 35212-2522
(205) 380-9455
Mailing address
2912 OVERTON RD, MOUNTAIN BRK, AL 35223-2736
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1-183069
AL
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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