Individual
MS. EMMA JANE GROETHE
Active
Individual
MS. EMMA JANE GROETHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP, MSN
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
09173
OH
363LF0000X
Family Nurse Practitioner
133665
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01249
CNS OHIO COA
OH
01
—
2006007685-21
NP CERTIFICATION
—
05
—
2594296
—
OH
01
—
NP-09173
CERTIFICED NURSE PRACTITI
OH
Enumeration date
10/26/2006
Last updated
12/14/2020
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