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Individual

ANNA GROSSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, AGNP-C

Contact information

Practice address
909 FULTON ST SE # 2121DC, MINNEAPOLIS, MN 55455-4800
(612) 301-1425
(612) 676-4029
Mailing address
909 FULTON ST SE # 2121DC, MINNEAPOLIS, MN 55455-4800

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9086
MN
363LA2200X
Adult Health Nurse Practitioner
9086
MN
363LG0600X
Gerontology Nurse Practitioner
9086
MN

Other

Enumeration date
03/21/2022
Last updated
03/21/2022
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