Provider Demographics
NPI:1194035592
Name:GRAPPERHAUS, JANNA LEIGH (CPM)
Entity Type:Individual
Prefix:MRS
First Name:JANNA
Middle Name:LEIGH
Last Name:GRAPPERHAUS
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 BAUSERMAN LN
Mailing Address - Street 2:
Mailing Address - City:STUARTS DRAFT
Mailing Address - State:VA
Mailing Address - Zip Code:24477-2630
Mailing Address - Country:US
Mailing Address - Phone:540-941-8156
Mailing Address - Fax:
Practice Address - Street 1:115 BAUSERMAN LN
Practice Address - Street 2:
Practice Address - City:STUARTS DRAFT
Practice Address - State:VA
Practice Address - Zip Code:24477-2630
Practice Address - Country:US
Practice Address - Phone:540-941-8156
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-19
Last Update Date:2010-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0129000060176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife