Individual provider · Type 1 NPI

Marissa Lynn Groseclose

Licensed Practical Nurse · Princeton, WV

NPI number 1972438596 Active

Practice location

200 12th Street Ext
Princeton, WV 24740-2398

Call (304) 425-9541 Map

Mailing address

2610 Cliffmont Ave
Bluefield, WV 24701-5016

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X40699 (WV)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1972438596

Marissa Lynn Groseclose's National Provider Identifier is 1972438596, issued on Jun 15, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Princeton, WV. The record was last updated on Jun 15, 2026.