Teara Gruber, | |
10881 Yankee St, Dayton, OH 45458-3574 | |
(513) 204-1910 | |
Not Available |
Full Name | Teara Gruber |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 10881 Yankee St, Dayton, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316703663 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WE0003X | Registered Nurse - Emergency | RN.371676 (Ohio) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN.CNP.0035921 (Ohio) | Primary |
Entity Name | Lee Side Wellness Associates, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841731510 PECOS PAC ID: 4587934823 Enrollment ID: O20170719003872 |
Mailing Address | Practice Location Address |
---|---|
Teara Gruber, 3615 Socialville Foster Rd Ste C, Mason, OH 45040-9054 Ph: () - | Teara Gruber, 10881 Yankee St, Dayton, OH 45458-3574 Ph: (513) 204-1910 |
David Lee Evers, ANP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 122 Wyoming St, Dayton, OH 45409 Phone: 937-223-4461 Fax: 937-449-7603 | |
Kimberly Kay Myers, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 240 W Elmwood Dr, Suite 1000, Dayton, OH 45459 Phone: 937-224-8200 Fax: 937-224-1770 | |
Joni Abramczyk, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1550 Yankee Park Pl, Dayton, OH 45458 Phone: 937-439-4949 | |
Angela Marie Thompson, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7677 Yankee St Ste 110, Dayton, OH 45459 Phone: 800-824-9861 | |
Rosanne Cecilia Jones, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Childrens Plz, Dayton, OH 45404 Phone: 937-641-3000 | |
Kimberly Wade Young, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8120 Garnet Dr, Dayton, OH 45458 Phone: 833-510-4357 | |
Mr. Kenneth Levi Moore Iii, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5981 Far Hills Ave, Dayton, OH 45429 Phone: 937-438-5954 |