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Individual

KERI LEE GROTHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
20 PATRIOT PL, FOXBOROUGH, MA 02035-1375
(866) 378-9164
Mailing address
20 PATRIOT PL, FOXBORO, MA 02035-1375

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
APRN00725
RI
363LF0000X
Family Nurse Practitioner
Primary
RN282360
MA

Other

Enumeration date
08/18/2015
Last updated
02/08/2019
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