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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NICOLE E PETGRAVE, NURSE PRACTITIONER

Active

NICOLE E PETGRAVE, NURSE PRACTITIONER is a Gerontological Nurse Practitioner healthcare provider located in MENTOR, Ohio. NPI 1649812405 is currently active in the NPPES registry. Verify at CMS.

Gerontological Nurse Practitioner · MENTOR, OH

Registration Details

NPI Number
1649812405
Provider Type
Individual
Gender
Female
NPI Issued
Oct 14, 2019 (6.8414046718493 yrs)
Last Updated
Oct 15, 2019
Licenses
APRN.CNP.024887 (OH)
APRN.CNP.024887 (OH)

Practice Information

Address
8200 MENTOR HILLS DR
MENTOR, OH, 440607861
Browse OH providers · Browse ZIP 44060
Phone
8004271902
Fax
4195312664
Primary Specialty
Gerontological Nurse Practitioner
363LG0600X

Other Gerontological Nurse Practitioner Providers in MENTOR, OH

Name Credential NPI
BONNIE KITCHEN CNP 1194188268
KATHERINE MORMILE 1306485859
JENNIFER CORDRAY NP-C 1215553052
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.