Phillips-Grossman, Marilyn L

Phillips-Grossman, Marilyn L is an individual health care provider with primary practice located at 159 Executive Dr Suite C, Danville VA 24541-4160. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Phillips-Grossman, Marilyn L can be contacted via phone (434) 792-0830.

Contact Information

Primary practice address
159 Executive Dr Suite C Danville VA 24541-4160
Phone: (434) 792-0830
Fax: (434) 792-0468
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 007026D23 Virginia

Profile Details

NPI number 1649339367
LBN Legal business name Phillips-Grossman, Marilyn L
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2006
Last updated Aug 11th, 2023 - about 3 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 1649339367 NPPES
Virginia MEDICAID 010108586

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