Individual
ELLEN M GROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN417524
CA
176B00000X
Midwife
CNM1503
CA
Other
Enumeration date
11/08/2006
Last updated
09/11/2025
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