Individual
ANNE MARIE GROSSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
320 POMFRET STREET, PUTNAM, CT 06260
(860) 963-6390
(860) 963-6343
Mailing address
320 POMFRET STREET, PUTNAM, CT 06260
(860) 963-6390
(860) 963-6343
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
000534
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004149870
—
CT
05
—
008034756
—
CT
Enumeration date
11/08/2006
Last updated
12/29/2011
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