Individual provider · Type 1 NPI

Grace N/a Num-Boatemaa, NP

Family Nurse Practitioner · Bear, DE

NPI number 1609640119 Active

Practice location

1545 Pulaski Hwy
Bear, DE 19701-1303

Fax (302) 544-1395

Mailing address

20212 Champion Forest Dr Ste 100
Spring, TX 77379-8781

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XLG-0012566 (DE)
Family Nurse Practitioner Primary 363LF0000X1172140 (TX)

Family Nurse Practitioner: Definition to come...

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About NPI 1609640119

Grace N/a Num-Boatemaa, NP's National Provider Identifier is 1609640119, issued on Nov 14, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bear, DE. The record was last updated on Apr 3, 2025.