Individual ProviderBrenda M GrossNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address737 Broadway N, Fargo, ND 58122-0001(701) 234-4811(701) 234-2000PECOS EnrollmentBased on the most recent information from CMS, provider Brenda M Gross does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:59 PM.Profile DetailsProvider ID1467470013Provider TypeIndividualFull NameGross, Brenda MCredentialCRNAGenderFemaleSole ProprietorNoEnumeration Date7/18/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address737 Broadway N, Fargo, ND 58122-0001Phone(701) 234-4811Fax(701) 234-6979Mailing LocationMailing Address737 Broadway, Fargo, ND 58122-0001Phone(701) 234-2000Fax(701) 234-7334Provider TaxonomiesCodeDescriptionLicenseCode367500000XPrimaryDescriptionNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersLicenseR18631North Dakota