Individual provider · Type 1 NPI

Grace A. Cooney

Surgical Physician Assistant · Washington, DC

NPI number 1386402956 Active

Practice location

110 Irving St NW
Washington, DC 20010-3017

Mailing address

513 Hanna Rd
Bel Air, MD 21014-5375

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

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About NPI 1386402956

Grace A. Cooney's National Provider Identifier is 1386402956, issued on Mar 8, 2024. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Washington, DC. The record was last updated on Mar 8, 2024.