Provider Type Icon

GRACE GYNECOLOGY & WELLNESS CORP APMC NPI 1154083376


NPI Information

NPI: 1154083376
Provider Name: GRACE GYNECOLOGY & WELLNESS CORP APMC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 19D2240432

Address:
200 BEAULLIEU DR STE 3B
LAFAYETTE, LA
ZIP 70508
Phone: (337) 522-7282
Get Directions

GRACE GYNECOLOGY & WELLNESS CORP APMC is an obstetrics gynecology in Lafayette, LA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. GRACE GYNECOLOGY & WELLNESS CORP APMC NPI is 1154083376. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

200 BEAULLIEU DR STE 3B
LAFAYETTE, LA
ZIP 70508-230
Phone: (337) 522-7282
Fax: (337) 393-7057

The provider's authorized official is Mika Marlaine King .
The authorized official title is Physician/president Of Corp and has the following contact phone number (337) 654-4729.

The CLIA number assigned to this NPI record is 19D2240432 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/6/2021 and was last updated on 1/12/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & GynecologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.