Healthcare Provider Details

I. General information

NPI: 1841173630
Provider Name (Legal Business Name): GABRIELLE MARIE GROENE CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2025
Last Update Date: 07/29/2025
Certification Date: 07/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3188 BELLEVUE AVE
CINCINNATI OH
45219-2369
US

IV. Provider business mailing address

1243 PINEKNOT DR
CINCINNATI OH
45238-4120
US

V. Phone/Fax

Practice location:
  • Phone: 513-475-8730
  • Fax:
Mailing address:
  • Phone: 937-902-7229
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LC0200X
TaxonomyCritical Care Medicine Nurse Practitioner
License NumberAPRN.CNP.0039836
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: