person
Susan K Grove, NP
Gerontology Nurse Practitioner in Grand Prairie, Texas
NPI 1689044950

Susan K Grove is a Gerontology Nurse Practitioner based in Grand Prairie, TX and is specialized in Gerontology. Susan K Grove practices in Grand Prairie, TX and has the professional credentials of NP. The NPI Number for Susan K Grove is 1689044950 and holds a License No. AP107780 (Texas).

The current practice location address for Susan K Grove is 1801 S Carrier Pkwy, Grand Prairie, TX and can be reached out via phone at 972-262-5272 and via fax at 972-262-1921.

Location: 1801 S Carrier Pkwy, Grand Prairie, TX, 75051-3702
person
Provider Profile Details
NPI Number
1689044950
Provider Name
Susan K Grove
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1801 S Carrier Pkwy, Grand Prairie, TX, 75051-3702
Phone Number
972-262-5272
Fax Number
972-262-1921
Provider Enumeration Date
09/30/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
456712YLPS 01 WMG MEDICARE
institution
Provider Business Practice Location Address Details
Address
1801 S Carrier Pkwy
City
State
Zip
75051-3702
Phone Number
972-262-5272
Fax Number
972-262-1921
person
Provider Business Mailing Address Details
Address
1801 S Carrier Pkwy
City
State
Zip
75051-3702
Phone Number
972-262-5272
Fax Number
972-262-1921
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
AP107780 (Texas)
Definition
Definition to come...
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