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Mallory A Grossman, NP
Family Nurse Practitioner in Goshen, Indiana
NPI 1982082293

Mallory A Grossman is a Family Nurse Practitioner based in Goshen, IN and is specialized in Family. Mallory A Grossman practices in Goshen, IN and has the professional credentials of NP. The NPI Number for Mallory A Grossman is 1982082293 and holds a License No. 71005825A (Indiana).

The current practice location address for Mallory A Grossman is 2024 Dorchester Ct Ste 1, Goshen, IN and can be reached out via phone at 574-537-8326 and via fax at 574-534-1034.

Location: 2024 Dorchester Ct Ste 1, Goshen, IN, 46526-6546
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982082293
Provider Name
Mallory A Grossman
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
2024 Dorchester Ct Ste 1, Goshen, IN, 46526-6546
Phone Number
574-537-8326
Fax Number
574-534-1034
Provider Enumeration Date
05/07/2015
Last Update Date
04/13/2024
institution
Provider Business Practice Location Address Details
Address
2024 Dorchester Ct Ste 1
City
Goshen
State
Indiana
Zip
46526-6546
Phone Number
574-537-8326
Fax Number
574-534-1034
person
Provider Business Mailing Address Details
Address
2024 Dorchester Ct Ste 1
City
Goshen
State
Indiana
Zip
46526-6546
Phone Number
574-537-8326
Fax Number
574-534-1034
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
71005825A (Indiana)
Definition
Definition to come...
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