Individual
KATRINA LYNN GROSSWILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4565 US HIGHWAY 17 STE 200, FLEMING ISLAND, FL 32003-4823
(904) 634-0640
(904) 634-0203
Mailing address
609 CARRACK CT, SAINT MARYS, GA 31558-2621
(904) 557-5114
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11030046
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121742800
—
FL
Enumeration date
12/06/2023
Last updated
07/28/2025
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