Provider Demographics
NPI:1942602735
Name:GROSS, MARSHA (APRN, CNM, MSN)
Entity Type:Individual
Prefix:
First Name:MARSHA
Middle Name:
Last Name:GROSS
Suffix:
Gender:F
Credentials:APRN, CNM, MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4061 KIRKPATRICK LN STE 110
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-1959
Mailing Address - Country:US
Mailing Address - Phone:940-241-0789
Mailing Address - Fax:214-513-1335
Practice Address - Street 1:4061 KIRKPATRICK LN STE 110
Practice Address - Street 2:
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028-1959
Practice Address - Country:US
Practice Address - Phone:940-241-0789
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-23
Last Update Date:2021-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CNM2189367A00000X
TXAP126327367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife