Individual
IRENE CHRYSSOVALANTOU GRABOVAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2535 HALE ST, AVON, OH 44011-1856
(440) 934-8810
(440) 934-8811
Mailing address
26908 DETROIT RD, SUITE 301, WESTLAKE, OH 44145-2398
(440) 892-6406
(440) 617-0884
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
15784-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0117875
—
OH
Enumeration date
01/09/2015
Last updated
06/16/2023
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