Individual
LAURA L GROVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
2323 N LAKE DR, MILWAUKEE, WI 53211-4508
(414) 270-4932
(414) 291-5195
Mailing address
2323 N LAKE DR, MILWAUKEE, WI 53211-4508
(414) 270-4932
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
6069-33
WI
363LG0600X
Gerontology Nurse Practitioner
Primary
6069-33
WI
Other
Enumeration date
11/17/2014
Last updated
11/22/2017
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