Individual
MEGHAN LYNNE GROTHUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1820 W 3RD ST, DAVENPORT, IA 52802-1812
(563) 421-0500
Mailing address
7075 ST ANN DR, BETTENDORF, IA 52722-2449
(319) 939-1501
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A131436
IA
Other
Enumeration date
06/22/2018
Last updated
05/11/2021
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