MARILYN S GROVES NP NPI 1710921267

NPI Information

  • NPI: 1710921267
  • Provider Name: MARILYN S GROVES, NP
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • Address: 2600 OAKLAND AVE
    ELKHART, IN
    ZIP 46517
  • Phone: (574) 533-1234

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NPI Details

Marilyn S Groves, NP is a pediatrics nurse practitioner in Elkhart, IN. Marilyn S Groves, NP NPI is 1710921267. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2600 OAKLAND AVE
ELKHART, IN
ZIP 46517-533
Phone: (574) 533-1234
Fax: (574) 537-2652

The enumeration date for this NPI number is 6/15/2006 and was last updated on 8/9/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0200XNurse PractitionerPediatrics71001259AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1226830XMEDICARE PIN
2000000533123OTHERANTHEM PIN
3200361200MEDICAIDINDIANA
4P00106755OTHERINDIANARAILROAD MEDICARE PIN
5P48875MEDICARE UPININDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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