Provider Demographics
NPI:1194426759
Name:GROFF, KELSIE CATHERINE (APRN)
Entity type:Individual
Prefix:
First Name:KELSIE
Middle Name:CATHERINE
Last Name:GROFF
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:KELSIE
Other - Middle Name:CATHERINE
Other - Last Name:NORWOOD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:602 HENRY CHAPPLE ST
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59106-1874
Mailing Address - Country:US
Mailing Address - Phone:406-237-5110
Mailing Address - Fax:
Practice Address - Street 1:602 HENRY CHAPPLE ST
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59106-1839
Practice Address - Country:US
Practice Address - Phone:406-237-5110
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-13
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTNUR-APRN-APP-213524363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner