Grace Stracuzzi Freyre
Nurse Practitioner, Pediatrics in Glendale, AZ. Individual provider (NPI-1).
NPI number1164093530
StatusActive
Last updated in NPPESSep 20, 2022
Details
- NPI
- 1164093530
- Entity type
- Individual (NPI-1)
- Name
- Grace Stracuzzi Freyre
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 7, 2021
- Certification date
- Sep 20, 2022
- Last updated
- Sep 20, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | 95017740 | CA | Yes |
Practice location
7734 N 59th AveGlendale, AZ 85301-7816
Phone 602-569-3999
Mailing address
7957 Gardenia AveRancho Cucamonga, CA 91701-2513
Phone 909-201-9640
Other practice locations
7957 Gardenia Ave
Rancho Cucamonga, CA 91701-2513
Rancho Cucamonga, CA 91701-2513
Phone 909-201-9640
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