Tayler Lynn Grueser
Individual provider Active NPI Homemaker · Shade, OH
NPI 1124870878 · NPPES record last updated Apr 4, 2024
Key facts
- NPI
- 1124870878
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Homemaker 376J00000X
- License
- UT813347 (OH)
- Practice address
- 42974 Helwig Ridge Rd
Shade, OH 45776-9608 - Phone
- (740) 856-1158
- NPI assigned
- Apr 4, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| UT813347 | OH | MD | Homemaker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | UT813347 | OH | Yes |
Addresses
Primary practice location
42974 Helwig Ridge Rd
Shade, OH 45776-9608
Mailing address
42974 Helwig Ridge Rd
Shade, OH 45776-9608
Phone (740) 856-1158
Other providers in Shade, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.