Individual
KAREN M GROSS
Active
Individual
KAREN M GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
100677
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518170596
—
MO
05
—
429906803
—
MO
01
—
P01134618
RAILROAD MEDICARE
MO
01
—
P01276122
RAILROAD MEDICARE
MO
Enumeration date
05/07/2007
Last updated
11/06/2014
Update your record
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