Individual provider · Type 1 NPI

Mallory Williams Grose, ANP-C

Nurse Practitioner · Mount Airy, NC

NPI number 1093089575 Active

Practice location

694 Riverside Dr
Mount Airy, NC 27030

Fax (336) 719-7898

Mailing address

PO Box 751803
Charlotte, NC 28275-1803

Other practice locations

  • 905 Rockford St, Mount Airy, NC 27030-5323 · (336) 719-2440
  • 905 Rockford St, Mount Airy, NC 27030-5323 · (336) 719-2440

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X5005508 (NC)
Adult Health Nurse Practitioner 363LA2200X363LA2200X (NC)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

6 other providers at this address

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About NPI 1093089575

Mallory Williams Grose, ANP-C's National Provider Identifier is 1093089575, issued on Mar 1, 2012. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Mount Airy, NC. The record was last updated on Aug 2, 2024.