BETH A GRELLA NP NPI 1649266156

NPI Information

  • NPI: 1649266156
  • Provider Name: BETH A GRELLA, NP
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • Address: 134 HOMER AVE
    BOX 628
    CORTLAND, NY
    ZIP 13045
  • Phone: (607) 756-3561

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NPI Details

Beth A Grella, NP is an adult health nurse practitioner in Cortland, NY. Beth A Grella, NP NPI is 1649266156. 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:

134 HOMER AVE
BOX 628
CORTLAND, NY
ZIP 13045-206
Phone: (607) 756-3561
Fax: (607) 428-5142

The enumeration date for this NPI number is 9/21/2005 and was last updated on 9/24/2014.

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
1363LA2200XNurse PractitionerAdult HealthF302023NEW YORKYes

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
1P28610MEDICARE UPIN

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: 3/30/2025

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