Individual
NICOLE GROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
22 ROULSTON RD, WINDHAM, NH 03087-1209
(603) 898-6492
Mailing address
1698 W HIBISCUS BLVD STE B, MELBOURNE, FL 32901-2639
(321) 676-3200
(321) 802-5101
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
RN9231690
FL
363LF0000X
Family Nurse Practitioner
Primary
APRN11011293
FL
Other
Enumeration date
12/02/2020
Last updated
03/14/2022
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