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Individual
GRACEANN A FREEMAN
Active
Individual
GRACEANN A FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP61599120
WA
363LF0000X
Family Nurse Practitioner
APN000955
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124227244
SMA MEDICAID
NV
05
—
1124227244
—
NV
01
—
V110664
SMA MEDICARE
NV
Enumeration date
07/18/2007
Last updated
07/31/2025
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