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Individual

MRS. MARY A GROVE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ACNP, ANP, PHD

Contact information

Practice address
1003 ABBY RD, MIDDLETOWN, NJ 07748-6500
(615) 554-9047
Mailing address
1003 ABBY RD, MIDDLETOWN, NJ 07748-6500
(615) 554-9047

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00879100
NJ
363LA2100X
Acute Care Nurse Practitioner
3865
SC
363LA2100X
Acute Care Nurse Practitioner
APN0000014367
TN
363LA2100X
Acute Care Nurse Practitioner
F432395-01
NY
363LA2200X
Adult Health Nurse Practitioner
3865
SC
363LA2200X
Adult Health Nurse Practitioner
APN0000014367
TN
363LA2200X
Adult Health Nurse Practitioner
F310865-01
NY

Other

Enumeration date
05/18/2009
Last updated
10/12/2022
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