Individual
DIANE LEE GROVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10251 N 35TH AVE, PHOENIX, AZ 85051-1305
(602) 995-7366
Mailing address
PO BOX 2175, CAREFREE, AZ 85377-2175
(815) 713-6405
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
RN139143
AZ
Other
Enumeration date
02/02/2007
Last updated
07/08/2007
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