Individual
LAUREN GRACEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
442 E 20TH ST APT 6A, NEW YORK, NY 10009-8124
(914) 646-2432
Mailing address
442 E 20TH ST APT 6A, NEW YORK, NY 10009-8124
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
619206
NY
163WG0000X
General Practice Registered Nurse
Primary
619206
NY
Other
Enumeration date
10/01/2019
Last updated
10/01/2019
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