person
Molly C Grosvenor, NP
Family Nurse Practitioner in Rockford, Illinois
NPI 1336634179

Molly C Grosvenor is a Family Nurse Practitioner based in Rockford, IL and is specialized in Family. Molly C Grosvenor practices in Rockford, IL and has the professional credentials of NP. The NPI Number for Molly C Grosvenor is 1336634179 and holds a License No. 209017805 (Illinois).

The current practice location address for Molly C Grosvenor is 2300 N Rockton Ave, Rockford, IL and can be reached out via phone at 815-971-2777 and via fax at 815-971-9864.

Location: 2300 N Rockton Ave, Rockford, IL, 61103-3619
person
Provider Profile Details
NPI Number
1336634179
Provider Name
Molly C Grosvenor
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
2300 N Rockton Ave, Rockford, IL, 61103-3619
Phone Number
815-971-2777
Fax Number
815-971-9864
Provider Enumeration Date
06/25/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1336634179 05 WI
institution
Provider Business Practice Location Address Details
Address
2300 N Rockton Ave
City
State
Zip
61103-3619
Phone Number
815-971-2777
Fax Number
815-971-9864
person
Provider Business Mailing Address Details
Address
2300 N Rockton Ave
City
State
Zip
61103-3619
Phone Number
815-971-2777
Fax Number
815-971-9864
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
209017805 (Illinois)
Definition
Definition to come...
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