Individual
GRACE HASSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1010 WOODMAN DR, DAYTON, OH 45432-1400
(937) 252-2000
(937) 252-3700
Mailing address
1010 WOODMAN DR, DAYTON, OH 45432-1400
(937) 252-2000
(937) 252-3700
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
COA.12234-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3144458
—
OH
Enumeration date
03/21/2011
Last updated
04/13/2016
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