Individual provider · Type 1 NPI

Sandra R. Van Groll, APNP

Nurse Practitioner · Two Rivers, WI

NPI number 1659898385 Active

Practice location

5300 Memorial Dr
Two Rivers, WI 54241-3923

Mailing address

PO Box 735044
Chicago, IL 60673-5044

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X7927 (WI)
Pediatric Nurse Practitioner 363LP0200X7927 (WI)

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…

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About NPI 1659898385

Sandra R. Van Groll, APNP's National Provider Identifier is 1659898385, issued on Aug 23, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Two Rivers, WI. The record was last updated on Aug 28, 2024.