Individual
KATIE MOORE GROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3920 N UNION BLVD STE 220, COLORADO SPRINGS, CO 80907-4920
(719) 375-5400
(719) 434-7474
Mailing address
3920 N UNION BLVD STE 220, COLORADO SPRINGS, CO 80907-4920
(719) 375-5400
(719) 434-7474
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0996050
CO
Other
Enumeration date
02/08/2021
Last updated
10/05/2021
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