Groff, Audrey K.

Groff, Audrey K. is an individual health care provider with primary practice located at 6Th Ave And Spruce St , West Reading PA 19611. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Groff, Audrey K. can be contacted via phone (610) 988-8446.

Contact Information

Primary practice address
6Th Ave And Spruce St West Reading PA 19611
Phone: (610) 988-8446
Fax: (610) 988-4242
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X MW010027 Pennsylvania

Profile Details

NPI number 1578562633
LBN Legal business name Groff, Audrey K.
Credentials CNMW
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Mar 27th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578562633 NPPES
Pennsylvania MEDICAID 01900597

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