Individual provider · Type 1 NPI
Nicole E. Petgrave, NURSE PRACTITIONER
Gerontology Nurse Practitioner · Mentor, OH
NPI number
1649812405
Active
Practice location
8200 Mentor Hills Dr
Mentor, OH 44060-7861
Fax (419) 531-2664
Mailing address
333 N Summit St Fl 7
Toledo, OH 43604-1531
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | APRN.CNP.024887 (OH) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | APRN.CNP.024887 (OH) |
Gerontology Nurse Practitioner: Definition to come...
5 other providers at this address
- Heartland of Mentor Oh, LLCSkilled Nursing Facility Mentor, OH NPI 1285676783
- Legacy Mentor Operating Company, LLCSkilled Nursing Facility Mentor, OH NPI 1811692940
- Mentor SNF Healthcare LLCSkilled Nursing Facility Mentor, OH NPI 1871312819
- Jozefina Diaz, NP-CFamily Nurse Practitioner Mentor, OH NPI 1184189854
- Kristan J. Bryant, CNPAdult Health Nurse Practitioner Mentor, OH NPI 1174963235
Other gerontology nurse practitioner providers in Mentor
About NPI 1649812405
Nicole E. Petgrave, NURSE PRACTITIONER's National Provider Identifier is 1649812405, issued on Oct 14, 2019. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Mentor, OH. The record was last updated on Oct 15, 2019.