Individual
SEAN GRORICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3927 RUCKER AVE, EVERETT, WA 98201-4833
(425) 258-3900
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(425) 258-3900
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
147615030
WI
367500000X
Certified Registered Nurse Anesthetist
AP60192193
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2011144
—
WA
05
—
44351200
—
WI
Enumeration date
11/01/2006
Last updated
06/04/2015
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