Individual
THRESA LYNN GROTHAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, APRN, CPNP
Contact information
Practice address
152 W 2ND ST, DELPHOS, OH 45833-1601
(567) 765-1111
(833) 940-3627
Mailing address
152 W 2ND ST, DELPHOS, OH 45833-1601
(567) 765-1111
(833) 940-3627
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN246505
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0133929
—
OH
Enumeration date
06/12/2015
Last updated
04/03/2023
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