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NPI Code Detail

MEDICARE: MS. LINDA ANN GROFF ANP

MEDICARE: MS. LINDA ANN GROFF ANP
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
1363LF0000XFamily Nurse Practitioner71000451AIN

General Provider Information

NPI Number : 1659352029
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LINDA ANN GROFF ANP
Provider Business Mailing Address
First Line : 1421 E LORETTA DR
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46227-4812
Country : US
Telephone Number : 317-783-0972
Fax Number : 317-783-8012
Provider Business Practice Location Address
First Line : 8970 S MERIDIAN ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46217-5031
Country : US
Telephone Number : 317-882-0335
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2005
Last Update Date : 06/07/2022

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