Individual
GRACE M. MUTISYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3200 WATERFIELD DR, GARNER, NC 27529-7727
(919) 634-6208
Mailing address
100 TRAMWAY CIR, ANGIER, NC 27501-9170
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
5024148
NC
Other
Enumeration date
03/14/2026
Last updated
04/15/2026
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