Individual
GRACE L HEAP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN, PHN
Contact information
Practice address
3895 MIDWAY DR, SAN DIEGO, CA 92110-5248
(641) 629-0931
Mailing address
3895 MIDWAY DR APT 315, SAN DIEGO, CA 92110-5232
(641) 629-0931
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
181081
IA
163W00000X
Registered Nurse
Primary
RN95387772
CA
Other
Enumeration date
04/21/2025
Last updated
02/06/2026
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