Suzanne M Grove is a Family in Pomeroy, Washington. Suzanne M Grove practices all healthcare services and medical treatments related to Family. The NPI Number for Suzanne M Grove is 1124127071. The last update date is 2010-07-13.
Suzanne M Grove's current location address is 66 N 6th St, Pomeroy, Washington. You can contact this provider via phone number 5098431591 and fax number 5098431234. The mailing address for Suzanne M Grove is 66 N 6th St, Pomeroy, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Suzanne M Grove |
|---|---|
| Address | 66 N 6th St, Pomeroy, Washington |
| Phone Number | 5098431591 |
| Fax Number | 5098431234 |
| Sole Proprietor | N |
| Credentials | ARNP |
NPI Number Detail
| NPI Number | 1124127071 |
|---|---|
| Provider Enumeration Date | 2006-09-21 |
| Last Updated Date | 2010-07-13 |
Provider Mailing Address Detail
| Address | 66 N 6th St |
|---|---|
| City | Pomeroy |
| State | Washington (WA) |
| Post Code | 993479705 |
| Phone Number | 5098431591 |
| Fax Number | 5098431234 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | AP30000968 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9604000 | WA | -- | |
| 805880200 | ID | ID DSHS | |
| GAB03061 | WA | MEDICARE PTAN |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Suzanne M Grove by the Centers for Medicare & Medicaid Services?
The Suzanne M Grove has been issued the NPI (National Provider Identifier) 1124127071 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Suzanne M Grove's physical address?
The Suzanne M Grove is physically located at 66 N 6Th St, in the city of Pomeroy, WA, with the postal code 993479705.
What is Suzanne M Grove's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Suzanne M Grove is Family, and the taxonomy code that categorizes this field of expertise is 363Lf0000X.
On what date was the 1124127071 assigned to Suzanne M Grove?
The Suzanne M Grove was issued its 1124127071 on 2006-09-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Suzanne M Grove's details last updated?
The information pertaining to the Suzanne M Grove, including its address, specialty, and other details, was most recently updated on 2010-07-13.
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