Individual
CAROLYN MICHELLE GRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
3333 BURNET AVE, ML 2021, CINCINNATI, OH 45229-3026
(513) 636-6771
(513) 636-4615
Mailing address
3333 BURNET AVE, ML 2021, CINCINNATI, OH 45229-3026
(513) 636-6771
(513) 636-4615
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.13724
OH
363LP0200X
Pediatric Nurse Practitioner
COA.13724-NP
OH
Other
Enumeration date
12/11/2012
Last updated
03/15/2022
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