Grosskopf, Mary Noel

Grosskopf, Mary Noel is an individual health care provider with primary practice located at 2915 E Baseline Rd Suite 101, Gilbert AZ 85234-2425. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Grosskopf, Mary Noel can be contacted via phone (480) 776-0626.

Contact Information

Primary practice address
2915 E Baseline Rd Suite 101 Gilbert AZ 85234-2425
Phone: (480) 776-0626
Fax: (480) 776-0627
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X AP4025 Arizona

Profile Details

NPI number 1508151507
LBN Legal business name Grosskopf, Mary Noel
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2011
Last updated Jul 19th, 2011 - 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 1508151507 NPPES
Arizona Other AP4025 STATE NURSE PRACTIONER LICENSE

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