| Doctor Name: | MRS. GRETCHEN LEE HOOVER |
| NPI Number: | 1073510079 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN MSN FNPC |
| License Number: | NP04678 |
| Business Practice Address: | 4121 N King Rd Kingston Care Center Sylvania, OH - 43528 |
| Business Phone Number: | 4195178200 |
| Business Fax Number: | 4195178208 |
| Mailing Address: | 10834 Lakeview Dr, WHITEHOUSE |
| State: | OH |
| Postal Code: | 43571 |
| Phone Number: | 4193516836 |
| Fax Number: | |
| NPI Enumeration Date: | 07/05/2005 |
| NPI Last Update Date: | 02/08/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | NP04678 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |