Individual
MRS. STEPHANIE GRONLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
375 DIXMYTH AVE, CINCINNATI, OH 45220-2475
(513) 862-2514
(513) 862-4189
Mailing address
375 DIXMYTH AVE, CINCINNATI, OH 45220-2475
(513) 862-2514
(513) 862-4189
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
COA.15716-NP
OH
363LN0005X
Critical Care Neonatal Nurse Practitioner
RN.291596-COA1
OH
Other
Enumeration date
10/13/2014
Last updated
02/21/2017
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