Mary Jo Grabe, L.P.N.
Individual provider Active NPI Licensed Practical Nurse · Brookpark, OH
NPI 1508308370 · NPPES record last updated Nov 10, 2016
Key facts
- NPI
- 1508308370
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- PN-062031 (OH)
- Practice address
- 16900 Holland Rd
Brookpark, OH 44142-3522 - Phone
- (216) 898-8686
- Fax
- (216) 676-2073
- NPI assigned
- Nov 10, 2016
- 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 |
|---|---|---|---|
| PN-062031 | OH | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN-062031 | OH | Yes |
Addresses
Primary practice location
16900 Holland Rd
Brookpark, OH 44142-3522
Mailing address
16900 Holland Rd
Brookpark, OH 44142-3522
Phone (216) 898-8686
Other providers in Brookpark, OH
- Dakota Gordon
- Mary Margaret Gorjanc
- Marquell Gorsuch
- Goshi Health Care, LLC
- Courtney Gotschall
- Kaira Gramley
- Devon Greer
- Nadine Halas
- Frances Jean Hanshaw
- Estelle Harrigal
All providers in Brookpark, OH · Licensed Practical Nurse in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2016. 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.