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Genna Marie Grondin, NP
Nurse Practitioner in Niles, Michigan
NPI 1073170023

Genna Marie Grondin is a Nurse Practitioner based in Niles, MI. Genna Marie Grondin practices in Niles, MI and has the professional credentials of NP. The NPI Number for Genna Marie Grondin is 1073170023 and holds a License No. 903237 (Michigan).

The current practice location address for Genna Marie Grondin is 42 N Saint Joseph Ave Ste 100, Niles, MI and can be reached out via phone at 696-846-6962 and via fax at 269-687-1798.

Location: 42 N Saint Joseph Ave Ste 100, Niles, MI, 49120-2203
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073170023
Provider Name
Genna Marie Grondin
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
42 N Saint Joseph Ave Ste 100, Niles, MI, 49120-2203
Phone Number
696-846-6962
Fax Number
269-687-1798
Provider Enumeration Date
05/24/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
03774317 05 MS
institution
Provider Business Practice Location Address Details
Address
42 N Saint Joseph Ave Ste 100
City
Niles
State
Michigan
Zip
49120-2203
Phone Number
696-846-6962
Fax Number
269-687-1798
person
Provider Business Mailing Address Details
Address
42 N Saint Joseph Ave Ste 100
City
Niles
State
Michigan
Zip
49120-2203
Phone Number
696-846-6962
Fax Number
269-687-1798
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
4704386893 (Michigan)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
903237 (Mississippi)
Definition
Definition to come...
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