Individual
TINA MARIE GRULY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
7757 AUBURN RD STE 15, PAINESVILLE, OH 44077-9604
(440) 350-0832
(440) 354-7420
Mailing address
7757 AUBURN RD STE 15, PAINESVILLE, OH 44077-9604
(440) 350-0832
(440) 354-7420
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.09086
OH
367500000X
Certified Registered Nurse Anesthetist
RN285691
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN285691
OHIO BOARD OF NURSING
OH
Enumeration date
10/23/2006
Last updated
02/27/2020
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