Individual
MR. YEARGAR GROGRO KARNGA I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
1626 DREAM CT, REYNOLDSBURG, OH 43068-1576
(614) 626-4250
Mailing address
1626 DREAM CT, REYNOLDSBURG, OH 43068-1576
(614) 626-4250
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
PN122155
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNP0027799
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1538358999
MENTAL HEALTH NURSE PRACTITIONER
OH
Enumeration date
10/22/2007
Last updated
12/15/2020
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