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Sara Marie Grotefendt, NP
Obstetrics & Gynecology Nurse Practitioner in Maryville, Illinois
NPI 1255805594

Sara Marie Grotefendt is a Obstetrics & Gynecology Nurse Practitioner based in Maryville, IL and is specialized in Obstetrics & Gynecology. Sara Marie Grotefendt practices in Maryville, IL and has the professional credentials of NP. The NPI Number for Sara Marie Grotefendt is 1255805594 and holds a License No. 209017373 (Illinois).

The current practice location address for Sara Marie Grotefendt is 2016 Vadalabene Dr, Maryville, IL and can be reached out via phone at 618-288-2970.

Location: 2016 Vadalabene Dr, Maryville, IL, 62062-6901
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255805594
Provider Name
Sara Marie Grotefendt
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
2016 Vadalabene Dr, Maryville, IL, 62062-6901
Phone Number
618-288-2970
Fax Number
Provider Enumeration Date
01/21/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2016 Vadalabene Dr
City
Maryville
State
Illinois
Zip
62062-6901
Phone Number
618-288-2970
Fax Number
person
Provider Business Mailing Address Details
Address
2016 Vadalabene Dr
City
Maryville
State
Illinois
Zip
62062-6901
Phone Number
618-288-2970
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Obstetrics & Gynecology
Taxonomy
363LX0001X
License No.
209017373 (Illinois)
Definition
Definition to come...
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