IndividualActive
Marie Gross, RN
NPI 1508442658 · Ambulatory Care Registered Nurse · Eagle Butte, SD
Provider details
- NPI number
- 1508442658
- Entity type
- Individual
- Primary specialty
- Ambulatory Care Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- R030777 (SD)
Specialties & taxonomies
Nursing Service Providers
Practice location
24276 166th Street Airport Road
Eagle Butte, SD 57625
Phone: (605) 964-7724
Fax: (605) 964-1342
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 242
Timber Lake, SD 57656-0242
Registry dates
- Enumerated
- 2021-03-19
- Last updated
- 2021-03-19
- Certified
- 2021-02-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.