Provider Demographics
NPI:1992491617
Name:NARTKER, GREGORY GUY
Entity type:Individual
Prefix:
First Name:GREGORY
Middle Name:GUY
Last Name:NARTKER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:161 VINE ST
Mailing Address - Street 2:
Mailing Address - City:RAVENNA
Mailing Address - State:OH
Mailing Address - Zip Code:44266-2143
Mailing Address - Country:US
Mailing Address - Phone:330-297-0858
Mailing Address - Fax:
Practice Address - Street 1:161 VINE ST
Practice Address - Street 2:
Practice Address - City:RAVENNA
Practice Address - State:OH
Practice Address - Zip Code:44266-2143
Practice Address - Country:US
Practice Address - Phone:330-297-0858
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-14
Last Update Date:2023-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker