Individual
GABRIELLA GROOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
401 9TH AVE NW, WATERTOWN, SD 57201-1548
(612) 205-0327
Mailing address
509 3RD ST SE, WATERTOWN, SD 57201-4321
(612) 205-0327
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CR001134
SD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2021
Last updated
12/27/2023
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