Provider Demographics
NPI:1154204113
Name:GRISSETT, ANNA J
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:J
Last Name:GRISSETT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20979 ELLACOTT PKWY APT E7
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44128-4445
Mailing Address - Country:US
Mailing Address - Phone:216-501-1035
Mailing Address - Fax:
Practice Address - Street 1:20979 ELLACOTT PKWY APT E7
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44128-4445
Practice Address - Country:US
Practice Address - Phone:216-501-1035
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty