Individual
MRS. KRISTIN ELIZABETH GROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
30 RONNIES PLZ, SAINT LOUIS, MO 63126-3552
(314) 989-6807
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
11770-33
WI
363L00000X
Nurse Practitioner
Primary
F0215537
MO
363LF0000X
Family Nurse Practitioner
F0215537
KS
363LF0000X
Family Nurse Practitioner
F0215537
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861884264
—
WI
Enumeration date
02/23/2015
Last updated
12/12/2022
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