person
Alexandra Shade Gross, CRNP
Family Nurse Practitioner in Wetumpka, Alabama
NPI 1356083968

Alexandra Shade Gross is a Family Nurse Practitioner based in Wetumpka, AL and is specialized in Family. Alexandra Shade Gross practices in Wetumpka, AL and has the professional credentials of CRNP. The NPI Number for Alexandra Shade Gross is 1356083968 and holds a License No. 1-152055 (Alabama).

The current practice location address for Alexandra Shade Gross is 500 Hospital Dr, Wetumpka, AL and can be reached out via phone at 334-567-4311 and via fax at 334-514-3686.

Location: 500 Hospital Dr, Wetumpka, AL, 36092-0003
person
Provider Profile Details
NPI Number
1356083968
Provider Name
Alexandra Shade Gross
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
500 Hospital Dr, Wetumpka, AL, 36092-0003
Phone Number
334-567-4311
Fax Number
334-514-3686
Provider Enumeration Date
04/13/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
285542 05 AL
04220120 01 AL AANP
1-152055 01 AL ABN MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
500 Hospital Dr
City
State
Zip
36092-1625
Phone Number
334-567-4311
Fax Number
334-514-3686
person
Provider Business Mailing Address Details
Address
500 Hospital Dr
City
State
Zip
36092-1625
Phone Number
334-567-4311
Fax Number
334-514-3686
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
1-152055 (Alabama)
Definition
Definition to come...
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