| Molly Jean Groskreutz, CRNP | |
|
4705 Meadow Pond Ln, La Crosse, WI 54601-2287 | |
| (608) 790-7714 | |
| Not Available |
| Full Name | Molly Jean Groskreutz |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Adult Health |
| Location | 4705 Meadow Pond Ln, La Crosse, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053173823 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | AP61506091 (Washington) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | 10021602 (Oregon) | Primary |
| Entity Name | Legacy Clinics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20031117000089 |
| Mailing Address | Practice Location Address |
|---|---|
| Molly Jean Groskreutz, CRNP 4705 Meadow Pond Ln, La Crosse, WI 54601-2287 Ph: (608) 790-7714 | Molly Jean Groskreutz, CRNP 4705 Meadow Pond Ln, La Crosse, WI 54601-2287 Ph: (608) 790-7714 |
Stacie Strong, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2500 State Rd # 33, La Crosse, WI 54601 Phone: 608-775-5858 | |
Julie Sonsalla, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Naomi Muthoni Ruiru, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Catherine A Ziegler, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 West Ave S, La Crosse, WI 54601 Phone: 608-785-0940 | |
Lisa Malmo, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 700 West Ave S, La Crosse, WI 54601 Phone: 608-785-0940 | |
Tneshia Janeen Sweat, NNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Kathleen Marie Grangaard, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 700 West Ave S, La Crosse, WI 54601 Phone: 608-785-0940 |