Provider Demographics
NPI:1194343657
Name:GROPPI, PAMELA LYNN (RN)
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:LYNN
Last Name:GROPPI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:PAMELA
Other - Middle Name:LYNN
Other - Last Name:RAMSEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7907 S GANNETT RD
Mailing Address - Street 2:
Mailing Address - City:SAGAMORE HILLS
Mailing Address - State:OH
Mailing Address - Zip Code:44067-1778
Mailing Address - Country:US
Mailing Address - Phone:330-754-5097
Mailing Address - Fax:
Practice Address - Street 1:7907 S GANNETT RD
Practice Address - Street 2:
Practice Address - City:SAGAMORE HILLS
Practice Address - State:OH
Practice Address - Zip Code:44067-1778
Practice Address - Country:US
Practice Address - Phone:330-754-5097
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-10
Last Update Date:2020-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.380772163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice