MEDICARE: HANNAH MARIE GROSE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367500000X	Certified Registered Nurse Anesthetist	APRN.CRNA.0021612	OH

General Provider Information

NPI Number	:	1194650580
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNAH MARIE GROSE

Provider Business Mailing Address
First Line	:	194 TUXWORTH RD
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45458-2450
Country	:	US
Telephone Number	:	513-262-6268
Fax Number	:

Provider Business Practice Location Address
First Line	:	194 TUXWORTH RD
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45458-2450
Country	:	US
Telephone Number	:	513-262-6268
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2026
Last Update Date	:	06/16/2026

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Directions to “ HANNAH MARIE GROSE ” Practice Location

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