Bukola Gross
Nurse Practitioner - Family Medicine
13010 Hesperia Rd Ste 501
Victorville
, California 92395-8315
Bukola Gross
Nurse Practitioner - Family Medicine
13010 Hesperia Rd Ste 501
Victorville
, California 92395-8315
(760) 242-7777
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Bukola Gross
- 19111 Town Center Dr
- Apple Valley, CA
- Zip : 92308-8989
- Phone : (760) 242-7777
Second Address
- Bukola Gross
- 13010 Hesperia Rd Ste 501
- Victorville, CA
- Zip : 92395-8315
- Phone : (760) 881-3717
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | NP95001547 | CA |
National Provider Identifier
| NPI | 1003211566 |
|---|---|
| Provider Name | Bukola Gross |
| First Address | Apple Valley, CA 92308-8989 |
| Second Address | Victorville, CA 92395-8315 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/10/2014 |
| Last Update Date | 03/06/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.