Kristin Grose, is a
Licensed Practical Nurse based in Waverly, West Virginia. Kristin Grose is licensed to practice in West Virginia (license number 38596) and her current practice location is
82 Parmetta Cir, Waverly, West Virginia. She can be reached at her office (for appointments etc.) via phone at
(304) 966-4697.
NPI number for Kristin Grose is 1013675305 and her current mailing address is 82 Parmetta Cir, Waverly, West Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1013675305.
Provider's Profile
Full Name | Kristin Grose |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 82 Parmetta Cir, Waverly, West Virginia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1013675305
- Provider Enumeration Date: 12/03/2021
- Last Update Date: 12/03/2021
Medical Identifiers
Medical identifiers for Kristin Grose such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1013675305 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 38596 (West Virginia) | Primary |
164W00000X | Licensed Practical Nurse | LPN.176479.MEDS (Ohio) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kristin Grose is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kristin Grose, 82 Parmetta Cir, Waverly, WV 26184-3349 Ph: (304) 966-4697 | Kristin Grose, 82 Parmetta Cir, Waverly, WV 26184-3349 Ph: (304) 966-4697 |
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