Individual
GRACE NORTHRUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
4494 PALMER RD. N., BLDG 10, NURSING ADMINISTRATION, BETHESDA, MD 20814
(301) 295-4800
Mailing address
4494 PALMER RD. N., BLDG 10, NURSING ADMINISTRATION, BETHESDA, MD 20814
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R129200
MD
363LF0000X
Family Nurse Practitioner
R129200
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
400068400
—
MD
Enumeration date
05/16/2006
Last updated
10/25/2023
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