Active NPIIndividual provider

Grace An, NURSE PRACTITIONER

Nurse Practitioner, Family in Bronx, New York

NPI Number1013447341
Practice location
111 E 210TH St Fl 2, Bronx, NY 10467
Fax
718-652-6642
Last updated
June 19, 2018

Grace An is a Nurse Practitioner, Family based in Bronx, NY. Grace An practices in Bronx, NY and has the professional credentials of NURSE PRACTITIONER. The NPI Number for Grace An is 1013447341 and holds a License No. F341274 (NY). The current practice location address for Grace An is 111 E 210TH St Fl 2, Bronx, NY 10467 and can be reached out via phone at 718-920-7303 and via fax at 718-652-6642.

Provider Profile Details

NPI Number
1013447341
Provider Name
Grace An
Credential
NURSE PRACTITIONER
Provider Entity Type
Individual
Gender
Female
Address
111 E 210TH St Fl 2, Bronx, NY 10467
Phone Number
718-920-7303
Fax Number
718-652-6642
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
June 19, 2017
Last Update Date
June 19, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
111 E 210TH St Fl 2
Bronx, NY 10467
City
Bronx
Zip
10467
Phone Number
718-920-7303
Fax Number
718-652-6642
Bronx, NY 10467Get directions →

Provider Business Mailing Address Details

Address
539 Bloomfield Ave Ste 1
Newark, NJ 07107-1385
City
Newark
State
NJ
Zip
07107-1385
Phone Number
735-669-9009
Fax Number
735-666-6929

License Information

License Number
F341274
License State
NY
Taxonomy
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Grace An, NURSE PRACTITIONER?

The NPI number of Grace An, NURSE PRACTITIONER is 1013447341. It was assigned on June 19, 2017 and is currently active in the NPPES registry.

What is the specialty of Grace An, NURSE PRACTITIONER?

Grace An, NURSE PRACTITIONER is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NY under license number F341274.

Where does Grace An, NURSE PRACTITIONER practice?

The practice location is 111 E 210TH St Fl 2, Bronx, NY 10467. The office can be reached at 718-920-7303 (phone) or 718-652-6642 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013447341 directly on the NPPES registry website.

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