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GRACE HEALTH SERVICES LLC NPI 1528614674


NPI Information

NPI: 1528614674
Provider Name: GRACE HEALTH SERVICES LLC
Classification: Nurse Practitioner - 363L00000X
Entity Type: Organization

CLIA Number: 49D2299623

Address:
188 ONVILLE RD
STAFFORD, VA
ZIP 22556
Phone: (540) 779-1648
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GRACE HEALTH SERVICES LLC is a nurse practitioner in Stafford, VA. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. GRACE HEALTH SERVICES LLC NPI is 1528614674. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

188 ONVILLE RD
STAFFORD, VA
ZIP 22556-805
Phone: (540) 779-1648
Fax: (540) 602-7062

The provider's authorized official is Collette F Ngante .
The authorized official title is Owner Of Entity and has the following contact phone number (360) 970-7708.

The CLIA number assigned to this NPI record is 49D2299623 - other - mental health provider with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/14/2019 and was last updated on 3/30/2023.


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
1363LF0000XNurse PractitionerFamilyNo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
3363L00000XNurse PractitionerYes

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

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