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Courtney Grove

Student in an Organized Health Care Education/Training Program in Waynesburg, PA. Individual provider (NPI-1).

NPI number1760109151
StatusActive
Last updated in NPPESOct 26, 2022

Details

NPI
1760109151
Entity type
Individual (NPI-1)
Name
Courtney Grove
Sex
Female
Sole proprietor
No
Enumeration date
Oct 26, 2022
Certification date
Oct 20, 2022
Last updated
Oct 26, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes
2255A2300X Specialist/Technologist, Athletic Trainer––

Practice location

51 W College St
Waynesburg, PA 15370-1222

Phone 301-471-4662

Mailing address

51 W. College St.
Courtney Grove, Box 3141
Waynesburg, PA 15370

Phone 301-471-4662

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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.

Other Student in an Organized Health Care Education/Training Program providers in Waynesburg, PA

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