Grondin, Genna Marie

Grondin, Genna Marie is an individual health care provider with primary practice located at 42 N Saint Joseph Ave Ste 100 , Niles MI 49120-2203. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Grondin, Genna Marie can be contacted via phone (696) 846-6962.

Contact Information

Primary practice address
42 N Saint Joseph Ave Ste 100 Niles MI 49120-2203
Phone: (696) 846-6962
Fax: (269) 687-1798
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 903237 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704386893 Michigan

Profile Details

NPI number 1073170023
LBN Legal business name Grondin, Genna Marie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2019
Last updated Aug 14th, 2023 - about last year

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 1073170023 NPPES
Mississippi MEDICAID 03774317

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