Doctor Name: | MRS. JOAN PRISCILLA GROTHER |
NPI Number: | 1134242415 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 53-45855 |
Business Practice Address: | 420 W 15th Ave Emporia, KS - 668015367 |
Business Phone Number: | 6203424864 |
Business Fax Number: | 6203433545 |
Mailing Address: | 420 W 15th Ave, EMPORIA |
State: | KS |
Postal Code: | 668015367 |
Phone Number: | 6203424864 |
Fax Number: | 6203433545 |
NPI Enumeration Date: | 04/09/2007 |
NPI Last Update Date: | 11/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | 53-45855 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |