KELLY DIANE GROSSMAN

ROCHESTER, MN
NPI1790453744
Professional NameKELLY DIANE GROSSMAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MN  8457)
Additional Taxonomies363LP0200X Nurse Practitioner, Pediatrics
(Licence: MN  8457)
Enumeration Date2021-09-03
Last Update Date2022-08-12
Business Address
KELLY DIANE GROSSMAN CNP, DNP
200 1ST ST SW
ROCHESTER, MN 55905-1635
Phone number: 507-993-0102
Mailing Address
KELLY DIANE GROSSMAN CNP, DNP
200 1ST ST SW
ROCHESTER, MN 55905-0001
Phone number: 507-284-2511