Melissa Gross
Nurse Practitioner, Family in Bala Cynwyd, PA. Individual provider (NPI-1).
NPI number1740675008
StatusActive
Last updated in NPPESSep 2, 2020
Details
- NPI
- 1740675008
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Melissa Gross
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 3, 2015
- Certification date
- Sep 2, 2020
- Last updated
- Sep 2, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 2014022432 | PA | Yes |
Other names
- Melissa Sophia Prousi (Former Name)
Practice location
301 E City Line Ave Ste 140Bala Cynwyd, PA 19004-1714
Phone 610-660-0777
Mailing address
76 S Forge Manor DrPhoenixville, PA 19460-2702
Phone 215-570-7690
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