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Individual

EMILY GROSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
21 BELMONT AVENUE, GANNETT BUILDING 1ST FLOOR, BRATTLEBORO, VT 05301-0530
(802) 251-8787
(802) 251-9972
Mailing address
17 BELMONT AVENUE, BRATTLEBORO, VT 05301
(802) 257-0341

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1010134331
VT
367A00000X
Advanced Practice Midwife
CNM0356
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3121719
NH
05
6701695
VT
Enumeration date
09/23/2016
Last updated
04/13/2022
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