NPI 1922311364

Nicole Marie Grossen, PAC

Practitioner Physician Assistant Richland Center, WI

Practice location

Address: 301 E 2nd St, Richland Center, WI 53581-1900
Phone: (608) 647-6161
Fax: (608) 647-3178

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 2607-23 (WI)

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Registry record

NPI: 1922311364
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Jul 2010
Record last updated: 10 Jul 2020

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.