GRACE FAMILY PRACTICE LLC NPI 1760850911

NPI Information

  • NPI: 1760850911
  • Provider Name: GRACE FAMILY PRACTICE LLC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Address: 7368 COUNTY ROAD 623 UNIT B
    MILLERSBURG, OH
    ZIP 44654
  • Phone: (330) 473-6314

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NPI Details

GRACE FAMILY PRACTICE LLC is a family nurse practitioner in Millersburg, OH. GRACE FAMILY PRACTICE LLC NPI is 1760850911. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7368 COUNTY ROAD 623 UNIT B
MILLERSBURG, OH
ZIP 44654-256
Phone: (330) 473-6314
Fax: (330) 473-6321

The provider's authorized official is Susan Ann Rochelle .
The authorized official title is Contract Manager, Cfo and has the following contact phone number (330) 473-6314.

The enumeration date for this NPI number is 9/4/2015 and was last updated on 8/11/2019.

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
1367A00000XAdvanced Practice MidwifeCOA 12493-NMOHIONo
2363LF0000XNurse PractitionerFamilyCOA 13542-NPOHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10143152MEDICAIDOHIO

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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