Search › Mississippi › 367500000X
Grover Cruise, CRNA
NPI 1720043219 · on the registry since 2006 · sole proprietor
Practice
- Address
- 125 S 12th Ave
Hattiesburg, MS 39401 - Phone
- (601) 310-4509
Additional practice sites
- 415 S 28th Ave, Hattiesburg, MS
Registry record
- Primary taxonomy
- 367500000X
367500000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-10-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi