Gross, Prentis Rae

Gross, Prentis Rae is an individual health care provider with primary practice located at 1040 Medical Park Ave , New Bern NC 28562-5248. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gross, Prentis Rae can be contacted via phone (252) 633-1678.

Contact Information

Primary practice address
1040 Medical Park Ave New Bern NC 28562-5248
Phone: (252) 633-1678
Fax: (252) 633-1403
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5005290 North Carolina

Profile Details

NPI number 1801177605
LBN Legal business name Gross, Prentis Rae
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2011
Last updated Oct 26th, 2016 - about 8 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 1801177605 NPPES
North Carolina MEDICAID 1801177605

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