NICOLE E PETGRAVE


Address: 8200 Mentor Hills Dr, Mentor, OH 44060-7861
Phone: 8004271902

NICOLE E PETGRAVE (NPI# 1649812405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649812405
Entity Type Individual
Full Name NICOLE E PETGRAVE
Credential NURSE PRACTITIONER
Practice Address 8200 Mentor Hills Dr
Mentor
OH 44060-7861
Mailing Address 333 N Summit St Fl 7
Toledo
OH 43604-1531
Practice Telephone 8004271902
Practice Fax Number 4195312664
Mailing Telephone 4192526018
Mailing Fax Number 8005645952
Enumeration Date 2019-10-14
Last Update Date 2019-10-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LA2200X Nurse Practitioner
Specialization: Adult Health
APRN.CNP.024887 OH Physician Assistants & Advanced Practice Nursing Providers
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
APRN.CNP.024887 OH Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 8200 MENTOR HILLS DR
City MENTOR
State OH
Zip Code 44060-7861

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285676783 Heartland of Mentor Oh LLC Skilled Nursing Facility 8200 Mentor Hills Dr, Mentor, OH 44060-7861 2006-06-11
1184189854 Jozefina Diaz Nurse Practitioner 8200 Mentor Hills Dr, Mentor, OH 44060-7861 2019-02-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093364143 Pamela Adams Technician 6079 Center St, Mentor, OH 44060 2019-09-10
1255800298 Brittani Joy Lumpkin Community/Behavioral Health 9220 Mentor Road., Mentor, OH 44060 2018-11-20
1043726763 Sharon Bollinger Counselor 7232 Tyler Blvd., Mentor, OH 44060 2017-12-18
1255863635 Mentor Health and Rehabilitation Center, Inc. Skilled Nursing Facility 8151 Norton Pkwy, Mentor, OH 44060 2017-04-03
1144695933 Kirsten Lorek Specialist/Technologist 8400 Paddock Ct, Mentor, OH 44060 2015-12-06
1346638848 Darlean Williams Licensed Practical Nurse 6477 Center Street, Mentor High School, Mentor, OH 44060 2015-01-06
1316357130 Kathryn Arnette Romo Speech-Language Pathologist 6451 Center Street, Mentor Exempted Village Schools, Mentor, OH 44060 2014-05-01
1730599705 Marianne. P. Kostiha Registered Nurse 6451 Center St., Mentor Public Schools, Mentor, OH 44060 2014-04-30
1558788190 Jeanne Marie Markusic Physical Therapist 7687 Ellington Pl, Mentor, OH 44060 2014-03-20
1477979391 Center for Advanced Vein Care LLC Emergency Medicine 7200 Mentor Avenue, Mentor, OH 44060 2014-03-17
Find all providers in zip 44060

Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215553052 Jennifer Cordray Nurse Practitioner 5452 Grace Dr, Mentor, OH 44060-1500 2020-06-17
1306485859 Katherine Mormile Nurse Practitioner 8316 Yellowbrick Rd, Mentor, OH 44060-4960 2020-01-02
1194188268 Bonnie Kitchen Nurse Practitioner 9485 Mentor Ave Ste 210, Mentor, OH 44060-8723 2016-04-05
1508264615 Stacie Taylor Nurse Practitioner 7350 Industrial Park Blvd, Mentor, OH 44060-5318 2014-12-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1760083174 Sophia Denise Moncrieffe-jordan Nurse Practitioner 23511 Chargin Blvd, Apt. E312, Beachwood, OH 44122 2020-11-03
1649879032 Danielle Wines Nurse Practitioner 5933 Sarah Lake Dr, Sylvania, OH 43560-9201 2020-10-19
1881292902 Karen Cooper Nurse Practitioner 730 A Kittle Road, Wheelersburg, OH 45694 2020-10-12
1659983252 Michael A. Adams Nurse Practitioner 3837 Washington Blvd, University Heights, OH 44118-3158 2020-08-17
1912516709 Susan Marie Hessey Nurse Practitioner 4502 Satinwood Dr, Toledo, OH 43623-3350 2020-07-28
1518585728 Diane Louise Lamb Nurse Practitioner 3163 Hook Waltz Rd E, Elida, OH 45807-9555 2020-07-14
1053943134 Chunyan Mcelroy Nurse Practitioner 101 Meadowlands Dr Apt D8, Chardon, OH 44024-9379 2020-02-06
1790324432 Ashley Nicole Neely Nurse Practitioner 890 Oakwood Dr, Alliance, OH 44601-5435 2019-12-28
1710530357 Christine Marie Hoover Nurse Practitioner 65 Community Rd Ste C, Tallmadge, OH 44278-2358 2019-07-23
1659939015 Marcia A. Stephens Aprn LLC Nurse Practitioner 7450 Miami Hills Dr, Cincinnati, OH 45243-1814 2019-05-31
Find all providers with the same taxonomy

Competitor

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City MENTOR
Zip Code 44060

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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