NPI 1295687770 · live from the CMS NPI Registry
Tricia Nicole Grondin, RN
Registered Nurse, General Practice in Owasso, OK. National Provider Identifier 1295687770, active.
NPI record
| NPI | 1295687770 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, General Practice 163WG0000X |
| Practice location | 12017 E 109th St N, Owasso, OK 74055 |
| Practice phone | 626-377-0617 |
| Enumerated | February 9, 2026 |
| Last updated | February 9, 2026 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, General Practice primary | 163WG0000X | R0117751 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.