Individual
SARAH GROSSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
51600 HUNTINGTON RD, LA PINE, OR 97739-8887
(541) 536-3435
(541) 536-8047
Mailing address
PO BOX 3300, LA PINE, OR 97739-3300
(541) 536-3435
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
CNS-00259
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16988086
—
NE
01
—
31594
BLUE CROSS BLUE SHIELD NE
NE
Enumeration date
08/16/2005
Last updated
04/21/2023
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