Grace Connelly, CRNA
Registered Nurse in New York, NY. Individual provider (NPI-1).
NPI number1902467160
StatusActive
Last updated in NPPESNov 10, 2021
Details
- NPI
- 1902467160
- Entity type
- Individual (NPI-1)
- Name
- Grace Connelly
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 27, 2019
- Certification date
- Nov 10, 2021
- Last updated
- Nov 10, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 672845-1 | NY | Yes |
| 163W00000X | Registered Nurse | 26NR18680400 | NJ |
Other names
- Grace Davidson (Former Name)
Practice location
1275 York AveNew York, NY 10065-6007
Phone 212-639-2000
Mailing address
200 W 26th St Apt 11dNew York, NY 10001-6750
Phone 817-395-3476
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