Individual
LISA MARIE GROSSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MS, CPNP
Contact information
Practice address
1153 CENTRE ST, SUITE 31, JAMAICA PLAIN, MA 02130-3446
(617) 522-3100
(617) 522-6366
Mailing address
1153 CENTRE ST, SUITE 31, JAMAICA PLAIN, MA 02130-3446
(617) 522-3100
(617) 522-6366
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
164053-NP
MA
Other
Enumeration date
10/02/2006
Last updated
08/16/2007
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