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Meghan Lynne Grothus

Nurse Practitioner, Family in Davenport, IA. Individual provider (NPI-1).

NPI number1750876751
StatusActive
Last updated in NPPESMay 11, 2021

Details

NPI
1750876751
Entity type
Individual (NPI-1)
Name
Meghan Lynne Grothus
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 22, 2018
Certification date
May 11, 2021
Last updated
May 11, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyA131436IAYes

Practice location

1820 W 3rd St
Davenport, IA 52802-1812

Phone 563-421-0500

Mailing address

7075 St Ann Dr
Bettendorf, IA 52722-2449

Phone 319-939-1501

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