Provider Demographics
NPI:1790212843
Name:GRINTER, ERICA KRON (LPN)
Entity Type:Individual
Prefix:MS
First Name:ERICA
Middle Name:KRON
Last Name:GRINTER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3624 CAMILLE DR,
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43607
Mailing Address - Country:US
Mailing Address - Phone:419-262-6604
Mailing Address - Fax:
Practice Address - Street 1:3808 HOUSE OF STUART AVE
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43607-4360
Practice Address - Country:US
Practice Address - Phone:419-262-6604
Practice Address - Fax:419-262-6604
Is Sole Proprietor?:No
Enumeration Date:2017-05-19
Last Update Date:2017-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH147145164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse