Individual
MRS. MORGAN ELIZABETH GROTHAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, MSN, RN, FNP
Contact information
Practice address
3635 VISTA AVE, SAINT LOUIS, MO 63110
(314) 977-6100
Mailing address
8815 CALEB RD, ARGENTA, IL 62501-8191
(217) 855-7409
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041404099
IL
163W00000X
Registered Nurse
2013006432
MO
363LF0000X
Family Nurse Practitioner
Primary
2017005259
MO
Other
Enumeration date
03/14/2017
Last updated
10/16/2019
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