Provider Demographics
NPI:1508372988
Name:GRENTZER, AMY BETH (APRN, FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:BETH
Last Name:GRENTZER
Suffix:
Gender:F
Credentials:APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1805 COBHAM LN
Mailing Address - Street 2:
Mailing Address - City:WADSWORTH
Mailing Address - State:OH
Mailing Address - Zip Code:44281-5204
Mailing Address - Country:US
Mailing Address - Phone:330-697-6667
Mailing Address - Fax:
Practice Address - Street 1:3737 PARK EAST DR STE 220
Practice Address - Street 2:
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-4347
Practice Address - Country:US
Practice Address - Phone:440-368-6868
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-20
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.021650363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily