Individual
MS. KAREN TRISTER GRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
8908 RIGGS RD, ADELPHI, MD 20783-1632
(301) 422-5900
Mailing address
5309 WEHAWKEN RD, BETHESDA, MD 20816-3137
(347) 742-8108
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
000990
NY
367A00000X
Advanced Practice Midwife
Primary
R198508
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02192703
—
NY
Enumeration date
10/12/2006
Last updated
10/13/2019
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