TRACEY GROSS


Address: 20244 Woodingham Dr, Detroit, MI 48221-5200
Phone: 3132050421

TRACEY GROSS (NPI# 1013345271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013345271
Entity Type Individual
Full Name TRACEY GROSS
Credential RN
Practice Address 20244 Woodingham Dr
Detroit
MI 48221-5200
Practice Telephone 3132050421
Mailing Telephone 3132050421
Enumeration Date 2013-10-25
Last Update Date 2013-10-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WC0400X Registered Nurse
Specialization: Case Management
4704192538 MI Nursing Service Providers

Office Location

Street Address 20244 WOODINGHAM DR
City DETROIT
State MI
Zip Code 48221-5200

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Taxonomy Information

Taxonomy Code 163WC0400X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Case Management

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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Competitor

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City DETROIT
Zip Code 48221

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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