Jeanette Gronski, LPN
Individual provider Active NPI Licensed Practical Nurse · Moosic, PA
NPI 1730524992 · NPPES record last updated May 1, 2013
Key facts
- NPI
- 1730524992
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- PN096207L (PA)
- Practice address
- 714 Edgebrook Dr
Moosic, PA 18507-1234 - Phone
- (570) 457-7804
- NPI assigned
- May 1, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| PN096207L | PA | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN096207L | PA | Yes |
Addresses
Primary practice location
714 Edgebrook Dr
Moosic, PA 18507-1234
Mailing address
714 Edgebrook Dr
Moosic, PA 18507-1234
Phone (570) 457-7804
Other providers in Moosic, PA
- Tina Helene Gordon
- Edward Christopher Grambo
- Christopher Robert Grassi
- Natalie Susan Gray
- Greenwood Hose Company #1
- Evelyn Grupp
- Kon Soo Hahn
- Hamidian Training Institute
- Ann Hart
- Theresa Ann Havel
All providers in Moosic, PA · Licensed Practical Nurse in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2013. 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.