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Shianne Grace
Student in an Organized Health Care Education/Training Program in South Yarmouth, Massachusetts
NPI 1801420658

Shianne Grace is a Student in an Organized Health Care Education/Training Program based in South Yarmouth, MA. Shianne Grace practices in South Yarmouth, MA. The NPI Number for Shianne Grace is 1801420658 and holds a License No. 11012808 (Massachusetts).

The current practice location address for Shianne Grace is 168 Wood Rd, South Yarmouth, MA and can be reached out via phone at 508-292-6730.

Location: 168 Wood Rd, South Yarmouth, MA, 02664-4228
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801420658
Provider Name
Shianne Grace
Credential
Provider Entity Type
Individual
Gender
Female
Address
168 Wood Rd, South Yarmouth, MA, 02664-4228
Phone Number
508-292-6730
Fax Number
Provider Enumeration Date
03/02/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
168 Wood Rd
City
South Yarmouth
State
Massachusetts
Zip
02664-4228
Phone Number
508-292-6730
Fax Number
person
Provider Business Mailing Address Details
Address
168 Wood Rd
City
South Yarmouth
State
Massachusetts
Zip
02664-4228
Phone Number
508-292-6730
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
11012808 (Florida)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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