Organization · Type 2 NPI
Grace Primary Care PLLC
Family Nurse Practitioner · Crestwood, KY
NPI number
1679058804
Active
Practice location
6520 W Highway 22
Crestwood, KY 40014
Other practice locations
- 6520 W Highway 22, Crestwood, KY 40014 · (502) 241-8488
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
Other family nurse practitioner providers in Crestwood
About NPI 1679058804
Grace Primary Care PLLC's National Provider Identifier is 1679058804, issued on Oct 3, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Crestwood, KY. The record was last updated on Jun 11, 2019.