Gramlich, Judeana Amm

Gramlich, Judeana Amm is an individual health care provider with primary practice located at 10 Medical Park Suite 104, Wheeling WV 26003. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gramlich, Judeana Amm can be contacted via phone (304) 242-4800.

Contact Information

Primary practice address
10 Medical Park Suite 104 Wheeling WV 26003
Fax: (304) 242-3580
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X COA.12579-NP Ohio
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN58557 West Virginia

Profile Details

NPI number 1831485770
LBN Legal business name Gramlich, Judeana Amm
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2011
Last updated May 19th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831485770 NPPES
Ohio MEDICAID 0053716

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