Individual
ALEXANDRA GRACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, CPNP, ACGN
Contact information
Practice address
9835 N LAKE CREEK PKWY, AUSTIN, TX 78717-6210
(737) 229-2000
Mailing address
315 N SAN SABA STE 1135, SAN ANTONIO, TX 78207-3255
(210) 704-3030
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP140092
TX
Other
Enumeration date
02/19/2019
Last updated
04/04/2024
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