MEDICARE: MRS. AMY BETH GRENTZER APRN, FNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	APRN.CNP.021650	OH

General Provider Information

NPI Number	:	1508372988
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. AMY BETH GRENTZER APRN, FNP-BC

Provider Business Mailing Address
First Line	:	1805 COBHAM LN
Second Line	:
City	:	WADSWORTH
State	:	OH
Zip	:	44281-5204
Country	:	US
Telephone Number	:	330-697-6667
Fax Number	:

Provider Business Practice Location Address
First Line	:	3737 PARK EAST DR STE 220
Second Line	:
City	:	BEACHWOOD
State	:	OH
Zip	:	44122-4347
Country	:	US
Telephone Number	:	440-368-6868
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/20/2017
Last Update Date	:	08/04/2025

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