Healthcare Provider Details

I. General information

NPI: 1992214522
Provider Name (Legal Business Name): DEVIN L GRAPPY NP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/26/2017
Last Update Date: 07/27/2021
Certification Date: 07/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1105 SCHROCK RD STE 130
COLUMBUS OH
43229-1174
US

IV. Provider business mailing address

1134 N MAIN ST STE 1100
BELLEFONTAINE OH
43311-2379
US

V. Phone/Fax

Practice location:
  • Phone: 614-696-9965
  • Fax:
Mailing address:
  • Phone: 937-651-6820
  • Fax: 937-651-6822

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.021732
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: