1174177414 NPI number — RENEE E GROVE CNP

Table of content: RENEE E GROVE CNP (NPI 1174177414)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1174177414 NPI number — RENEE E GROVE CNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GROVE
Provider First Name:
RENEE
Provider Middle Name:
E
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
CNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
NIEMAN
Provider Other First Name:
RENEE
Provider Other Middle Name:
E
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
CNP
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1174177414
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/11/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
460 POLARIS PKWY STE 100
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WESTERVILLE
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
43082-6090
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
614-865-3125
Provider Business Mailing Address Fax Number:
614-529-4270

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
460 POLARIS PKWY STE 100
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WESTERVILLE
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43082-6090
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
614-865-3125
Provider Business Practice Location Address Fax Number:
614-529-4270
Provider Enumeration Date:
07/25/2019

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  APRN.CNP.025311 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0363533 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".