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NPI Code Detail

MEDICARE: ERIN GRONENTHAL

MEDICARE: ERIN GRONENTHAL
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 Practitioner0991241CO

General Provider Information

NPI Number : 1922402353
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN GRONENTHAL
Provider Business Mailing Address
First Line : 1230 14TH ST SW
Second Line :
City : LOVELAND
State : CO
Zip : 80537-6324
Country : US
Telephone Number : 309-369-4894
Fax Number :
Provider Business Practice Location Address
First Line : 1230 14TH ST SW
Second Line :
City : LOVELAND
State : CO
Zip : 80537-6324
Country : US
Telephone Number : 309-369-4894
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2014
Last Update Date : 04/17/2026

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Directions to “ ERIN GRONENTHAL ” Practice Location

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