Gravens, Courtney Brooke
Gravens, Courtney Brooke is an sole proprietor health care provider with primary practice located at 8655 Market Street , Mentor OH 44060. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gravens, Courtney Brooke can be contacted via phone (440) 255-6400.Contact Information
Primary practice address
8655 Market Street
Mentor OH 44060
Phone: (440) 255-6400
Fax: (440) 255-3637
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | COA.16149-NP | Ohio |
Profile Details
| NPI number | 1467766261 |
|---|---|
| LBN Legal business name | Gravens, Courtney Brooke |
| Credentials | MSN, RN |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 4th, 2010 |
| Last updated | Jun 15th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467766261 | NPPES |
| Ohio | MEDICAID | 0106908 |
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