Active NPIIndividual providerSole proprietor

Susan Grace, APRN

Nurse Practitioner, Psych/Mental Health in Coventry, Connecticut

NPI Number1679699284
Practice location
1153 Main St, Coventry, CT 06238-3115
Fax
—
Last updated
December 24, 2018

Susan Grace is a Nurse Practitioner, Psych/Mental Health based in Coventry, CT. Susan Grace practices in Coventry, CT and has the professional credentials of APRN. The NPI Number for Susan Grace is 1679699284 and holds a License No. 002645 (CT). The current practice location address for Susan Grace is 1153 Main St, Coventry, CT 06238-3115 and can be reached out via phone at 860-341-2776.

Provider Profile Details

NPI Number
1679699284
Provider Name
Susan Grace
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
1153 Main St, Coventry, CT 06238-3115
Phone Number
860-341-2776
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
Yes
Provider Enumeration Date
March 22, 2007
Last Update Date
December 24, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
1153 Main St
Coventry, CT 06238-3115
Zip
06238-3115
Phone Number
860-341-2776
Coventry, CT 06238Get directions →

Provider Business Mailing Address Details

Address
Po Box 725
Coventry, CT 06238-0725
City
Coventry
State
CT
Zip
06238-0725
Phone Number
860-989-0035

License Information

License Number
002645
License State
CT
Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

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

Other Nurse Practitioner, Psych/Mental Health providers near Coventry, CT

View all Nurse Practitioner, Psych/Mental Health providers in Coventry →

Frequently Asked Questions

What is the NPI number of Susan Grace, APRN?

The NPI number of Susan Grace, APRN is 1679699284. It was assigned on March 22, 2007 and is currently active in the NPPES registry.

What is the specialty of Susan Grace, APRN?

Susan Grace, APRN is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in CT under license number 002645.

Where does Susan Grace, APRN practice?

The practice location is 1153 Main St, Coventry, CT 06238-3115. The office can be reached at 860-341-2776 (phone).

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 1679699284 directly on the NPPES registry website.

Browse related providers