Provider Demographics
NPI:1245538750
Name:GROZDANICH, ANNE MARIE (DNP, FNP, APRN)
Entity type:Individual
Prefix:MS
First Name:ANNE
Middle Name:MARIE
Last Name:GROZDANICH
Suffix:
Gender:F
Credentials:DNP, FNP, APRN
Other - Prefix:
Other - First Name:ANNE
Other - Middle Name:
Other - Last Name:GROZDANICH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:901 E OAK ST STE A
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34744-5837
Mailing Address - Country:US
Mailing Address - Phone:407-777-2022
Mailing Address - Fax:
Practice Address - Street 1:901 E OAK ST STE A
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34744-5837
Practice Address - Country:US
Practice Address - Phone:407-777-2022
Practice Address - Fax:407-942-8996
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-08
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11005135363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty