Nicole E Petgrave, NURSE PRACTITIONER

NPI #1649812405 in Mentor, Ohio

Provider Information

NPI Number
1649812405
Entity Type
Individual
Name
Nicole E Petgrave, NURSE PRACTITIONER
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Gerontology
Credential
NURSE PRACTITIONER
Enumeration Date
Oct 14, 2019
Last Updated
Oct 15, 2019

Practice Location

Address
8200 MENTOR HILLS DR
City
Mentor
State
Ohio
ZIP Code
44060-7861
Phone
(800) 427-1902

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - Adult HealthAdult Health
Nurse Practitioner - GerontologyGerontology

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