Individual provider · NPI-1

Carrollyn E Grace, APRN PCNS

Clinical Nurse Specialist · Providence, RI

NPI number1649288010
StatusActive
Last updated in NPPESDec 4, 2007

Details

NPI
1649288010
Entity type
Individual (NPI-1)
Name
Carrollyn E Grace
Credential
APRN PCNS
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 3, 2006
Last updated
Dec 4, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
364S00000X Clinical Nurse SpecialistPPNS00044RIYes

Practice location

345 Blackstone Blvd
Providence, RI 02906

Phone 401-270-7757 · Fax 401-270-5788

Mailing address

345 Blackstone Blvd
Providence, RI 02906

Phone 401-270-7757 · Fax 401-270-5788

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