Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | COA.17043-NP | OH |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | APRN.CNP.17043 | OH |
N | 363LP0222X | Nurse Practitioner Pediatrics (Critical Care) | APRN.CNP.17043 | OH |
NPI | 1073916433 |
---|---|
Provider Name | Mr. Robert Lee Grabowski |
First Address | Cleveland, OH 44109-1900 |
Second Address | Cleveland, OH 44109-1900 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/09/2014 |
Last Update Date | 27/12/2021 |