Organization · Type 2 NPI
Grace Kidney Care
Family Nurse Practitioner · Baton Rouge, LA
NPI number
1417574690
Active
Practice location
4316 Dawson Dr
Baton Rouge, LA 70805-1429
Mailing address
PO Box 74075
Baton Rouge, LA 70874-4075
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
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About NPI 1417574690
Grace Kidney Care's National Provider Identifier is 1417574690, issued on Jul 2, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Baton Rouge, LA. The record was last updated on Jul 3, 2020.