Search › Indiana › 363LA2200X
Vicky Gross, NP
NPI 1811590623 · on the registry since 2020
Practice
- Address
- 4600 W Washington St
South Bend, IN 46619 - Phone
- (574) 282-1294
- Organisation at this address
- Lifesource Of North Carolina
Henry County Memorial Hospital
Trinity Continuing Care ServicesInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Additional practice sites
- 1121 E Lasalle Ave, South Bend, IN
Registry record
- Primary taxonomy
- 363LA2200X
363LA2200X
- Also registered as
- 363LA2200X
- Licence states on file
- MI, IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-07-22
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 Indiana