Healthcare Provider Details

I. General information

NPI: 1992125223
Provider Name (Legal Business Name): GERI LYNN GROSSI NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. GERI LYNN GINTER

II. Dates (important events)

Enumeration Date: 04/25/2014
Last Update Date: 06/17/2025
Certification Date: 06/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1231 PINE GROVE AVE STE 2A
PORT HURON MI
48060-3500
US

IV. Provider business mailing address

3050 COMMERCE DR
FORT GRATIOT MI
48059-3819
US

V. Phone/Fax

Practice location:
  • Phone: 810-982-8742
  • Fax: 810-984-8291
Mailing address:
  • Phone: 810-385-4441
  • Fax: 810-385-1951

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4704216985
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: