Individual
MS. ALAHNA ELIZABETH GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
120 W 6TH AVE, MITCHELL, SD 57301-1920
(605) 292-6262
Mailing address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 477-5149
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CP001960
SD
363LF0000X
Family Nurse Practitioner
R167908-8
MN
363LP2300X
Primary Care Nurse Practitioner
AP60362419
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CP001960
LICENSE
SD
Enumeration date
08/01/2011
Last updated
05/25/2021
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