# GRACE MEDICAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811656820
- **Authorized official:** MIKSHIRA MARIE MOSELY APRN (OWNER)
- **Authorized official phone:** (504) 376-4017

## Contact information

- **Practice address:** 5444 ELYSIAN FIELDS AVE, NEW ORLEANS, LA 70122-4222
- **Practice address phone:** (504) 539-8364
- **Practice address fax:** (504) 226-0892
- **Mailing address:** 5444 ELYSIAN FIELDS AVE, NEW ORLEANS, LA 70122-4222
- **Mailing address phone:** (504) 376-4017
- **Mailing address fax:** (504) 226-0892

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 12/17/2021
- **Last updated:** 10/25/2025