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MS. ELIZABETH A GROSE ARNP

Surgery Yellow Pages

Yakima, Washington

Provider NPI: 1508937004

Provider Information:
MS. ELIZABETH A GROSE ARNP


Practice Location:
717 FRUITVALE BLVD  YAKIMA, WA 98902 US
Tel: 509-966-0199  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363L00000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
WAAP30006768

Other Provider Identifiers:

IssuerNumberStateType
LABOR AND INDUSTRIES0194525WA01
9645060WA05
REGENCE9066GRWA01
CRIME VICTIMS8943771WA01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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