COLLIN PATRICK GROVES NPI 1760923866

NPI Information

  • NPI: 1760923866
  • Provider Name: COLLIN PATRICK GROVES
  • Classification: Student in an Organized Health Care Education/Training Program - 390200000X
  • Entity Type: Individual
  • Address: 644 PRAIRIE HILL AVE
    MUKWONAGO, WI
    ZIP 53149
  • Phone: (262) 891-7057

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NPI Details

Collin Patrick Groves is a student in an organized health care education training program in Mukwonago, WI. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Collin Patrick Groves NPI is 1760923866. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

644 PRAIRIE HILL AVE
MUKWONAGO, WI
ZIP 53149-932
Phone: (262) 891-7057

The enumeration date for this NPI number is 3/9/2017 and was last updated on 3/9/2017.

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
12255A2300XSpecialist/TechnologistAthletic TrainerNo
2390200000XStudent in an Organized Health Care Education/Training ProgramYes

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: 11/21/2025

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