Individual
CORRIE ELIZABETH GROGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC, FNP-C
Contact information
Practice address
376 WV HIGHWAY 5 E, GLENVILLE, WV 26351-7602
(304) 462-7322
(304) 462-8000
Mailing address
376 WV HIGHWAY 5 E, GLENVILLE, WV 26351-7602
(304) 462-7322
(304) 462-3418
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
104933
WV
363LW0102X
Women's Health Nurse Practitioner
104933
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0125774
—
OH
Enumeration date
06/23/2014
Last updated
04/24/2025
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