Individual
TRICIA NICOLE GRONDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
12017 E 109TH ST N, OWASSO, OK 74055-7466
(626) 377-0617
Mailing address
12017 E 109TH ST N, OWASSO, OK 74055-7466
(626) 377-0617
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
R0117751
OK
Other
Enumeration date
02/09/2026
Last updated
02/09/2026
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