Individual
CARRIE GRUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
335 GLESSNER AVE, MANSFIELD, OH 44903-2269
(419) 526-8000
(419) 521-7960
Mailing address
75 REMIT DR, SUITE # 1122, CHICAGO, IL 60675-1122
(866) 916-5259
(231) 922-4030
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
COA.16349-NP
OH
363LF0000X
Family Nurse Practitioner
Primary
COA.16349-NP
OH
Other
Enumeration date
08/26/2014
Last updated
12/30/2020
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