Healthcare Provider Details

I. General information

NPI: 1891796728
Provider Name (Legal Business Name): DONNA M. GRON CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/02/2005
Last Update Date: 07/13/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29099 HEALTH CAMPUS DR STE 380
WESTLAKE OH
44145-5276
US

IV. Provider business mailing address

29099 HEALTH CAMPUS DR STE 380
WESTLAKE OH
44145-5276
US

V. Phone/Fax

Practice location:
  • Phone: 440-835-6182
  • Fax: 440-835-6183
Mailing address:
  • Phone: 440-835-6182
  • Fax: 440-835-6183

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberNP04374
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberNPO4374
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License NumberRN096301
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: