Grotefendt, Sara Marie

Grotefendt, Sara Marie is an individual health care provider with primary practice located at 6810 State Route 162 Ste 105 , Maryville IL 62062-8560. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Grotefendt, Sara Marie can be contacted via phone (618) 288-9320.

Contact Information

Primary practice address
6810 State Route 162 Ste 105 Maryville IL 62062-8560
Phone: (618) 288-9320
Fax: (618) 288-9258
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 209017373 Illinois

Profile Details

NPI number 1255805594
LBN Legal business name Grotefendt, Sara Marie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 21st, 2019
Last updated Aug 28th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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