Individual
TRISTAN GROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Contact information
Practice address
415 MORRIS ST STE 400, CHARLESTON, WV 25301-1854
(304) 344-3551
Mailing address
415 MORRIS ST STE 400, CHARLESTON, WV 25301-1854
(304) 344-3551
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
107176
WV
Other
Enumeration date
02/04/2021
Last updated
01/09/2024
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