Individual
BRENT GRASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN CNP
Contact information
Practice address
6724 WALES AVE NW, MASSILLON, OH 44646-9006
(330) 837-4264
(330) 837-9195
Mailing address
6724 WALES AVE NW, MASSILLON, OH 44646-9006
(330) 837-4264
(330) 837-9195
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0027023
OH
363LG0600X
Gerontology Nurse Practitioner
0027023
OH
Other
Enumeration date
07/08/2020
Last updated
11/07/2025
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