KRISTENE K GRAYEM C.N.S. C.N.P. NPI 1407889496

NPI Information

NPI: 1407889496
Provider Name: KRISTENE K GRAYEM, C.N.S., C.N.P.
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
1 PERKINS SQ
AKRON, OH
ZIP 44308
Phone: (330) 543-8050
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Kristene K Grayem, C.N.S., C.N.P. is a pediatrics nurse practitioner in Akron, OH. Kristene K Grayem, C.N.S., C.N.P. NPI is 1407889496. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1 PERKINS SQ
AKRON, OH
ZIP 44308-063
Phone: (330) 543-8050
Fax: (330) 543-8054

The enumeration date for this NPI number is 7/10/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	COA.03993-NP	OHIO	Yes
2	364SP0200X	Clinical Nurse Specialist	Pediatrics	COA.03990-NS	OHIO	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2074928	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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