Organization · Type 2 NPI

Graces Room LLC

Psychiatric/Mental Health Nurse Practitioner · Bowie, MD

NPI number 1922966746 Active

Practice location

10216 Indian Summer Ct
Bowie, MD 20721-3178

Call (240) 203-7448 Map

Fax (240) 371-0557

Mailing address

3030 Greenmount Ave Ste 300
Baltimore, MD 21218-6907

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XNone listed

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1922966746

Graces Room LLC's National Provider Identifier is 1922966746, issued on Jan 12, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Bowie, MD. The record was last updated on Jan 12, 2026.