Individual provider · Type 1 NPI

Kelly Diane Grossman, CNP, DNP

Nurse Practitioner · Rochester, MN

NPI number 1790453744 Active

Practice location

200 1st St SW
Rochester, MN 55905-1635

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner 363LP0200X8457 (MN)
Nurse Practitioner Primary 363L00000X8457 (MN)

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 1790453744

Kelly Diane Grossman, CNP, DNP's National Provider Identifier is 1790453744, issued on Sep 3, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Rochester, MN. The record was last updated on Aug 12, 2022.