Individual
LAURA ELIZABETH GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5506 CORPORATE DR STE 1600, SAINT JOSEPH, MO 64507-7765
(816) 271-7848
Mailing address
314 S OHIO ST, KING CITY, MO 64463-9531
(816) 341-6512
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2020002810
MO
363LF0000X
Family Nurse Practitioner
Primary
2020002810
MO
Other
Enumeration date
01/29/2020
Last updated
07/23/2024
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