Provider Demographics
NPI:1891796728
Name:GRON, DONNA M (CNP)
Entity Type:Individual
Prefix:MS
First Name:DONNA
Middle Name:M
Last Name:GRON
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:29099 HEALTH CAMPUS DR
Mailing Address - Street 2:STE 380
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-5276
Mailing Address - Country:US
Mailing Address - Phone:440-835-6182
Mailing Address - Fax:440-835-6183
Practice Address - Street 1:29099 HEALTH CAMPUS DR
Practice Address - Street 2:STE 380
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-5276
Practice Address - Country:US
Practice Address - Phone:440-835-6182
Practice Address - Fax:440-835-6183
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-02
Last Update Date:2019-08-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OHNPO4374163W00000X
OHRN096301163WM0705X
MINP04374363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
No163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2272820Medicaid
OH2272820Medicaid
OHP10843Medicare UPIN