Individual
ASHLEY GROGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN-RN
Contact information
Practice address
1910 BUCKSKIN DR, FORT WAYNE, IN 46804-1313
(260) 286-0028
Mailing address
PO BOX 9185, FORT WAYNE, IN 46899-9185
(260) 286-0028
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28170204C
IN
Other
Enumeration date
05/27/2024
Last updated
05/27/2024
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