Provider Demographics
NPI:1265597959
Name:GRABOWSKI, TONIA (CNP)
Entity type:Individual
Prefix:MRS
First Name:TONIA
Middle Name:
Last Name:GRABOWSKI
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:MISS
Other - First Name:TONIA
Other - Middle Name:KAY
Other - Last Name:HELTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:7810 KENNARD RD
Mailing Address - Street 2:
Mailing Address - City:LODI
Mailing Address - State:OH
Mailing Address - Zip Code:44254-9728
Mailing Address - Country:US
Mailing Address - Phone:330-317-2517
Mailing Address - Fax:
Practice Address - Street 1:7810 KENNARD RD
Practice Address - Street 2:
Practice Address - City:LODI
Practice Address - State:OH
Practice Address - Zip Code:44254-9728
Practice Address - Country:US
Practice Address - Phone:330-317-2517
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-24
Last Update Date:2015-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN-279234163W00000X
OHNP-08888363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9792092OtherAETNA #
OH000000540437OtherANTHEM #
OH751144OtherBUCKEYE #
OH2771068Medicaid
OH421787OtherWELLCARE
OH000000225201OtherUNISON #
OHP00445900OtherRAILROAD MEDICARE
OHP00445900OtherRAILROAD MEDICARE