Provider Demographics
NPI:1669069357
Name:GRABEK, PATRICIA MARIE (MSN, APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:MARIE
Last Name:GRABEK
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:MARIE
Other - Last Name:RILEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN, APRN, FNP-C
Mailing Address - Street 1:337 W 806 N
Mailing Address - Street 2:
Mailing Address - City:VALPARAISO
Mailing Address - State:IN
Mailing Address - Zip Code:46385-7973
Mailing Address - Country:US
Mailing Address - Phone:219-973-9271
Mailing Address - Fax:
Practice Address - Street 1:337 W 806 N
Practice Address - Street 2:
Practice Address - City:VALPARAISO
Practice Address - State:IN
Practice Address - Zip Code:46385-7973
Practice Address - Country:US
Practice Address - Phone:219-221-4022
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-29
Last Update Date:2021-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
INF12200853363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily