Individual
MICHELLE RENEE GROVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9100 W 74TH ST, MERRIAM, KS 66204-4004
(913) 676-2000
Mailing address
9100 W 74TH ST, MERRIAM, KS 66204-4004
(913) 676-2000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-81281-052
KS
Other
Enumeration date
07/06/2022
Last updated
07/06/2022
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