Grove, Susan K

Grove, Susan K is an individual health care provider with primary practice located at 1801 S Carrier Pkwy , Grand Prairie TX 75051-3702. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Grove, Susan K can be contacted via phone (972) 262-5272.

Contact Information

Primary practice address
1801 S Carrier Pkwy Grand Prairie TX 75051-3702
Phone: (972) 262-5272
Fax: (972) 262-1921
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X AP107780 Texas

Profile Details

NPI number 1689044950
LBN Legal business name Grove, Susan K
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2015
Last updated Dec 3rd, 2015 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1689044950 NPPES
Other 456712YLPS WMG MEDICARE

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