Marilyn L Phillips-Grossman, FNP
Nurse Practitioner in Danville, VA. Individual provider (NPI-1).
NPI number1649339367
StatusActive
Last updated in NPPESAug 11, 2023
Details
- NPI
- 1649339367
- Entity type
- Individual (NPI-1)
- Name
- Marilyn L Phillips-Grossman
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 8, 2006
- Certification date
- Aug 11, 2023
- Last updated
- Aug 11, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 007026D23 | VA | Yes |
Practice location
159 Executive DrSuite C
Danville, VA 24541-4160
Phone 434-792-0830 · Fax 434-792-0468
Mailing address
159 Executive DrSuite C
Danville, VA 24541-4160
Phone 434-792-0830 · Fax 434-792-0468
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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