Individual
STEPHANIE GROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2310 60TH STREET CT W, BRADENTON, FL 34209-6609
(941) 792-4993
(941) 795-2905
Mailing address
2310 60TH STREET CT W, BRADENTON, FL 34209-6609
(941) 792-4993
(941) 795-2905
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
209-001461
IL
363LW0102X
Women's Health Nurse Practitioner
Primary
ARNP9396058
FL
Other
Enumeration date
11/17/2008
Last updated
07/21/2022
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