Individual
ERICA GROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
10500 MONTGOMERY RD, MONTGOMERY, OH 45242-4402
(253) 495-7237
Mailing address
1085 SOPHIA DR, MILFORD, OH 45150-8040
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
0001283973
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
0020686
OH
Other
Enumeration date
03/10/2022
Last updated
03/30/2023
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