GRACE RIVER WOMEN'S HEALTH LLC NPI 1083207682

NPI Information

  • NPI: 1083207682
  • Provider Name: GRACE RIVER WOMEN'S HEALTH LLC
  • Classification: Nurse Practitioner - 363LW0102X
  • Specialization: Women's Health
  • Entity Type: Organization
  • CLIA Number: 37D2275320
  • Address: 347 S 37TH ST
    MUSKOGEE, OK
    ZIP 74401
  • Phone: (918) 781-2496

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NPI Details

GRACE RIVER WOMEN'S HEALTH LLC is a women's health nurse practitioner in Muskogee, OK. GRACE RIVER WOMEN'S HEALTH LLC NPI is 1083207682. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

347 S 37TH ST
MUSKOGEE, OK
ZIP 74401-906
Phone: (918) 781-2496

The provider's authorized official is Sheila Metzger .
The authorized official title is Owner and has the following contact phone number (918) 781-2496.

The CLIA number assigned to this NPI record is 37D2275320 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/15/2021 and was last updated on 2/15/2021.

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
1363LW0102XNurse PractitionerWomen's HealthYes

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: 3/30/2025

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