Provider Demographics
NPI:1437691623
Name:GROHE, KASEY SHERIDAN (FNP)
Entity Type:Individual
Prefix:
First Name:KASEY
Middle Name:SHERIDAN
Last Name:GROHE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 392004
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80239-8004
Mailing Address - Country:US
Mailing Address - Phone:303-371-4804
Mailing Address - Fax:303-307-2514
Practice Address - Street 1:10900 SMITH RD
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80239-3262
Practice Address - Country:US
Practice Address - Phone:303-371-4804
Practice Address - Fax:303-307-2514
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-05
Last Update Date:2016-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0992091-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily