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NPI Code Detail

MEDICARE: ANNA DEGROOTE FNP-C

MEDICARE: ANNA DEGROOTE FNP-C
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
1363LF0000XFamily Nurse PractitionerAPRN.CNP.0041127OH

General Provider Information

NPI Number : 1639036452
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA DEGROOTE FNP-C
Provider Business Mailing Address
First Line : 3709 WASHINGTON BLVD
Second Line :
City : UNIVERSITY HEIGHTS
State : OH
Zip : 44118-2620
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2500 METROHEALTH DR
Second Line :
City : CLEVELAND
State : OH
Zip : 44109-1900
Country : US
Telephone Number : 216-778-7800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2026
Last Update Date : 01/05/2026

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Directions to “ ANNA DEGROOTE FNP-C” Practice Location

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