Individual
AMANDA MARIE GROVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1002 4TH AVE SE, CEDAR RAPIDS, IA 52403-2425
(319) 298-2200
Mailing address
5420 TARENA CT SW, CEDAR RAPIDS, IA 52404-7327
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A131009
IA
Other
Enumeration date
05/25/2017
Last updated
05/25/2017
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