Petgrave, Nicole E

Petgrave, Nicole E is an individual health care provider with primary practice located at 8200 Mentor Hills Dr , Mentor OH 44060-7861. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Petgrave, Nicole E can be contacted via phone (800) 427-1902.

Contact Information

Primary practice address
8200 Mentor Hills Dr Mentor OH 44060-7861
Phone: (800) 427-1902
Fax: (419) 531-2664
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X APRN.CNP.024887 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X APRN.CNP.024887 Ohio

Profile Details

NPI number 1649812405
LBN Legal business name Petgrave, Nicole E
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2019
Last updated Oct 15th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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