Provider Demographics
NPI:1477823888
Name:GROFF, PATRICIA ANN (HOSPICE CNA)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:ANN
Last Name:GROFF
Suffix:
Gender:F
Credentials:HOSPICE CNA
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:ANN
Other - Last Name:INTROCASO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 651
Mailing Address - Street 2:
Mailing Address - City:FREDERICA
Mailing Address - State:DE
Mailing Address - Zip Code:19946
Mailing Address - Country:US
Mailing Address - Phone:302-272-1734
Mailing Address - Fax:302-335-8113
Practice Address - Street 1:3544 MAIN STREET
Practice Address - Street 2:
Practice Address - City:FREDERICA
Practice Address - State:DE
Practice Address - Zip Code:19946
Practice Address - Country:US
Practice Address - Phone:302-272-1734
Practice Address - Fax:302-335-8113
Is Sole Proprietor?:No
Enumeration Date:2012-01-03
Last Update Date:2012-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide