GRACEFUL SECRETS MEDSPA NPI 1073279303

NPI Information

  • NPI: 1073279303
  • Provider Name: GRACEFUL SECRETS MEDSPA
  • Classification: Clinic/Center - 261QH0100X
  • Specialization: Health Service
  • Entity Type: Organization
  • CLIA Number: 16D2272773
  • Address: 204 E 4TH ST
    SAINT ANSGAR, IA
    ZIP 50472
  • Phone: (507) 254-8329

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NPI Details

GRACEFUL SECRETS MEDSPA is a health service clinic center in Saint Ansgar, IA. GRACEFUL SECRETS MEDSPA NPI is 1073279303. The provider is registered as an organization entity type.

The provider's business location address is:

204 E 4TH ST
SAINT ANSGAR, IA
ZIP 50472-606
Phone: (507) 254-8329
Fax: (319) 409-8274

The provider's authorized official is Jennifer Dianne Neumann .
The authorized official title is Owner/provider and has the following contact phone number (507) 254-8329.

The CLIA number assigned to this NPI record is 16D2272773 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/10/2021 and was last updated on 11/10/2021.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QH0100XClinic/CenterHealth ServiceYes

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: 11/21/2025

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