Organization · Type 2 NPI
Grace Healthcare Services, LLC
Family Nurse Practitioner · Mc Leansboro, IL
NPI number
1174669568
Active
Practice location
104 E Market St
Mc Leansboro, IL 62859-1317
Fax (618) 643-3164
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1174669568
Grace Healthcare Services, LLC's National Provider Identifier is 1174669568, issued on Jan 30, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Mc Leansboro, IL. The record was last updated on Apr 20, 2008.