person
Susan K Grace, NP
Family Nurse Practitioner in La Porte, Indiana
NPI 1891838629

Susan K Grace is a Family Nurse Practitioner based in La Porte, IN and is specialized in Family. Susan K Grace practices in La Porte, IN and has the professional credentials of NP. The NPI Number for Susan K Grace is 1891838629 and holds a License No. 71000443 (Indiana).

The current practice location address for Susan K Grace is 400 Teegarden St, La Porte, IN and can be reached out via phone at 219-326-0043 and via fax at 219-326-8909.

Location: 400 Teegarden St, La Porte, IN, 46350-3175
person
Provider Profile Details
NPI Number
1891838629
Provider Name
Susan K Grace
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
400 Teegarden St, La Porte, IN, 46350-3175
Phone Number
219-326-0043
Fax Number
219-326-8909
Provider Enumeration Date
02/14/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200812400 05 IN
institution
Provider Business Practice Location Address Details
Address
400 Teegarden St
City
State
Zip
46350-3175
Phone Number
219-326-0043
Fax Number
219-326-8909
person
Provider Business Mailing Address Details
Address
400 Teegarden St
City
State
Zip
46350-3175
Phone Number
219-326-0043
Fax Number
219-326-8909
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
71000443 (Indiana)
Definition
Definition to come...
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