Provider Demographics
NPI:1770223836
Name:GROFF, YVONDA (LM)
Entity Type:Individual
Prefix:
First Name:YVONDA
Middle Name:
Last Name:GROFF
Suffix:
Gender:F
Credentials:LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:81 WESTVIEW RD
Mailing Address - Street 2:
Mailing Address - City:PEQUEA
Mailing Address - State:PA
Mailing Address - Zip Code:17565-9772
Mailing Address - Country:US
Mailing Address - Phone:913-624-4721
Mailing Address - Fax:717-674-7945
Practice Address - Street 1:81 WESTVIEW RD
Practice Address - Street 2:
Practice Address - City:PEQUEA
Practice Address - State:PA
Practice Address - Zip Code:17565-9772
Practice Address - Country:US
Practice Address - Phone:913-624-4721
Practice Address - Fax:717-674-7945
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-29
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife