Individual provider · Type 1 NPI

Peter Shelby Groce, NURSE PRACTITIONER

Adult Health Nurse Practitioner · St. Louis, MO

NPI number 1245637271 Active

Practice location

3721 S Grand Blvd
St. Louis, MO 63118-3405

Mailing address

1395 NW 167th St
Miami Gardens, FL 33169-5710

Other practice locations

  • 3960 Lindell Blvd, St. Louis, MO 63108-3204 · (314) 652-0100
  • 5471 Dr Martin Luther King Dr, St. Louis, MO 63112-4265 · (314) 367-5820

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X2014039715 (MO)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1245637271

Peter Shelby Groce, NURSE PRACTITIONER's National Provider Identifier is 1245637271, issued on Nov 19, 2014. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in St. Louis, MO. The record was last updated on Jun 10, 2020.