Individual provider · Type 1 NPI
Marie E. Gross, RN
Ambulatory Care Registered Nurse · Eagle Butte, SD
NPI number
1508442658
Active
Practice location
24276 166th Street Airport Road
Eagle Butte, SD 57625
Fax (605) 964-1342
Mailing address
PO Box 242
Timber Lake, SD 57656-0242
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Care Registered Nurse Primary | 163WP2201X | R030777 (SD) |
Ambulatory Care Registered Nurse: Definition to come...
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About NPI 1508442658
Marie E. Gross, RN's National Provider Identifier is 1508442658, issued on Mar 19, 2021. The primary taxonomy on file is Ambulatory Care Registered Nurse (163WP2201X), and the practice location is in Eagle Butte, SD. The record was last updated on Mar 19, 2021.