Doctor Name: | MISS JUDEANA ANN GRAMLICH |
NPI Number: | 1831485770 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | COA.12579-NP |
Business Practice Address: | 37984 Airport Rd Woodsfield, OH - 437939247 |
Business Phone Number: | 7404720758 |
Business Fax Number: | |
Mailing Address: | 37984 Airport Rd, WOODSFIELD |
State: | OH |
Postal Code: | 437939247 |
Phone Number: | 7404720758 |
Fax Number: | |
NPI Enumeration Date: | 06/20/2011 |
NPI Last Update Date: | 08/25/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | COA.12579-NP |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |