Individual
MRS. LYNDA R. GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP,RNC
Contact information
Practice address
991 W HUDSON BLVD, GASTONIA, NC 28052-6430
(704) 861-8912
Mailing address
991 W HUDSON BLVD, GASTONIA, NC 28052-6430
(704) 861-8912
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
0800041
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0800041
NORTH CAROLINA MEDICAL LI
NC
05
—
7000790
—
NC
Enumeration date
10/04/2006
Last updated
02/10/2011
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