Individual
LISA SUE GROVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, FNP-C
Contact information
Practice address
2720 FAIRVIEW AVE N # 200, ROSEVILLE, MN 55113-1306
(651) 633-6883
Mailing address
2720 FAIRVIEW AVE N STE 200, ROSEVILLE, MN 55113-1306
(651) 633-6883
(651) 331-3459
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2485087
MN
363LF0000X
Family Nurse Practitioner
Primary
12975
MN
Other
Enumeration date
02/26/2025
Last updated
12/04/2025
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