Individual
MRS. TONIA GRABOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
7810 KENNARD RD, LODI, OH 44254-9728
(330) 317-2517
Mailing address
7810 KENNARD RD, LODI, OH 44254-9728
(330) 317-2517
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN-279234
OH
363LG0600X
Gerontology Nurse Practitioner
Primary
NP-08888
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000225201
UNISON #
OH
01
—
000000540437
ANTHEM #
OH
05
—
2771068
—
OH
01
—
421787
WELLCARE
OH
01
—
751144
BUCKEYE #
OH
01
—
9792092
AETNA #
OH
01
—
P00445900
RAILROAD MEDICARE
OH
Enumeration date
12/24/2006
Last updated
06/09/2015
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