GRACE MEDICAL SERVICES LLC NPI 1487229639

NPI Information

GRACE MEDICAL SERVICES LLC is a primary care nurse practitioner in Baltimore, MD. GRACE MEDICAL SERVICES LLC NPI is 1487229639. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6600 YORK RD STE 200B
BALTIMORE, MD
ZIP 21212-024
Phone: (443) 275-1031
Fax: (443) 275-2597

The provider's authorized official is Agatha N Ukaegbu .
The authorized official title is Owner Of Entity and has the following contact phone number (443) 275-1031.

The CLIA number assigned to this NPI record is 21D2234556 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/20/2021 and was last updated on 5/24/2021.

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:

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