NPI 1003543372

Mahala Grohman, LPN

Practitioner Licensed Practical Nurse Phoenix, AZ

Practice location

Address: 910 E Washington St, Phoenix, AZ 85034-1006
Phone: (602) 523-5885

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 238896 (AZ)

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Registry record

NPI: 1003543372
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Aug 2022
Record last updated: 5 Aug 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.