ALEXANDRA SHADE GROSS

WETUMPKA, AL
NPI1356083968
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AL  1-152055)
Enumeration Date2022-04-13
Last Update Date2022-12-29
Business Address
ALEXANDRA SHADE GROSS CRNP
500 HOSPITAL DR
WETUMPKA, AL 36092-1625
Phone number: 334-567-4311
Mailing Address
ALEXANDRA SHADE GROSS CRNP
PO BOX 130
WETUMPKA, AL 36092-0003
Phone number: 334-567-4311
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