Individual provider · Type 1 NPI
Sara Marie Grotefendt, NP
Obstetrics & Gynecology Nurse Practitioner · Maryville, IL
NPI number
1255805594
Active
Practice location
6810 State Route 162 Ste 105
Maryville, IL 62062-8560
Fax (618) 288-9258
Mailing address
6810 State Route 162, Box 215
Maryville, IL 62062
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner Primary | 363LX0001X | 209017373 (IL) |
Obstetrics & Gynecology Nurse Practitioner: Definition to come...
Other obstetrics & gynecology nurse practitioner providers in Maryville
About NPI 1255805594
Sara Marie Grotefendt, NP's National Provider Identifier is 1255805594, issued on Jan 21, 2019. The primary taxonomy on file is Obstetrics & Gynecology Nurse Practitioner (363LX0001X), and the practice location is in Maryville, IL. The record was last updated on Aug 28, 2024.