Individual
MS. EMMA JANE GROETHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP, MSN
Contact information
Practice address
9302 OLDE 8 RD, NORTHFIELD, OH 44067-2027
(330) 468-1661
(330) 908-1145
Mailing address
485 CARLSFIELD WAY, HUDSON, OH 44236-1173
(216) 288-4004
(330) 678-3501
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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