Individual
SONDRA GROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
13300 N 88TH AVE, PEORIA, AZ 85381-3820
(317) 236-9279
Mailing address
13300 N 88TH AVE, PEORIA, AZ 85381-3820
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
301769
AZ
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
301769
AZ
Other
Enumeration date
06/06/2024
Last updated
06/06/2024
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