Individual provider · Type 1 NPI
Diana Groves
General Practice Registered Nurse · Roseville, CA
NPI number
1104550334
Active
Practice location
1133 Coloma Way
Roseville, CA 95661-4480
Mailing address
855 Howe Ave
Sacramento, CA 95825-3912
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 720292 (CA) |
| General Practice Registered Nurse Primary | 163WG0000X | 95396568 (CA) |
General Practice Registered Nurse: Definition to come...
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About NPI 1104550334
Diana Groves's National Provider Identifier is 1104550334, issued on Jul 13, 2022. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Roseville, CA. The record was last updated on Jul 28, 2025.