Search › Ohio › 363LG0600X
Nicole Petgrave, NURSE PRACTITIONER
NPI 1649812405 · on the registry since 2019
Practice
- Address
- 8200 Mentor Hills Dr
Mentor, OH 44060 - Phone
- (800) 427-1902
- Fax
- (419) 531-2664
- Organisation at this address
- Mentor Snf Healthcare Llc
Heartland Of Mentor Oh, Llc
Legacy Mentor Operating Company, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 363LG0600X
363LG0600X
- Also registered as
- 363LA2200X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-10-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio