Healthcare Provider Details

I. General information

NPI: 1972632529
Provider Name (Legal Business Name): PATRICIA A GRIPPI A.P.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/02/2007
Last Update Date: 03/31/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8701 MENTOR AVE
MENTOR OH
44060-6103
US

IV. Provider business mailing address

1019 ELK DRIVE
ASHTABULA OH
44004
US

V. Phone/Fax

Practice location:
  • Phone: 440-266-0770
  • Fax: 440-266-0257
Mailing address:
  • Phone: 440-964-3005
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SC1501X
TaxonomyCommunity Health/Public Health Clinical Nurse Specialist
License NumberNS-07681
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: