Organization
GRACE INTEGRATIVE HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY R WEBB (CFO)
(336) 715-0007
Entity
Organization
Contact information
Practice address
1623 YORK AVE STE 103, HIGH POINT, NC 27265-2355
(336) 715-0007
(336) 915-2405
Mailing address
1623 YORK AVE STE 103, HIGH POINT, NC 27265-2355
(336) 715-0007
(336) 915-2405
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5008698
NC
363LA2200X
Adult Health Nurse Practitioner
5008698
NC
363LF0000X
Family Nurse Practitioner
Primary
5008698
NC
363LW0102X
Women's Health Nurse Practitioner
5008698
NC
Other
Enumeration date
08/21/2017
Last updated
07/21/2022
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