Patricia Gross, LPN
Individual provider Active NPI Licensed Practical Nurse · Shepherd, MI
NPI 1255760583 · NPPES record last updated Nov 7, 2013
Key facts
- NPI
- 1255760583
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 4703054533 (MI)
- Practice address
- 460 N Cottage Ave Apt a
Shepherd, MI 48883-9084 - Phone
- (989) 567-2077
- NPI assigned
- Nov 7, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4703054533 | MI | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 4703054533 | MI | Yes |
Addresses
Primary practice location
460 N Cottage Ave Apt a
Shepherd, MI 48883-9084
Mailing address
460 N Cottage Ave Apt a
Shepherd, MI 48883-9084
Phone (989) 567-2077
Other providers in Shepherd, MI
- Aaron Campbell
- Charles G. Artinian MD Facc PC
- Courageous Connections LLC
- James Jordan Furstenau
- Leeann A Gall
- Holly Noelle Hnetynka
- Amy B Janofski
- Kimberly Anne Karimi Morisett
- Kentwood Pharmacy
- Chalisa A Kohn
All providers in Shepherd, MI · Licensed Practical Nurse in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 7, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.