Individual
MS. ELIZABETH A GROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
717 FRUITVALE BLVD, YAKIMA, WA 98902-1465
(509) 966-0199
(509) 966-4266
Mailing address
717 FRUITVALE BLVD, YAKIMA, WA 98902-1465
(509) 966-0199
(509) 966-4266
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30006768
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0194525
LABOR AND INDUSTRIES
WA
01
—
8943771
CRIME VICTIMS
WA
01
—
9066GR
REGENCE
WA
05
—
9645060
—
WA
Enumeration date
11/13/2006
Last updated
08/29/2012
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