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Individual

LINDA J GROSSER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1815 N CAPITOL AVE, STE 530, INDIANAPOLIS, IN 46202-1288
(317) 924-8636
(317) 921-0230
Mailing address
1815 N CAPITOL AVE, STE 530, INDIANAPOLIS, IN 46202-1288
(317) 924-8636
(317) 921-0230

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
28064035A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
28064035A
REGISTERED NURSE LICENSE
IN
Enumeration date
01/08/2007
Last updated
07/08/2007
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