Organization
GRACE HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLETTE F NGANTE PMHNP-BC (OWNER OF ENTITY)
(360) 970-7708
Entity
Organization
Contact information
Practice address
188 ONVILLE RD, STAFFORD, VA 22556-3805
(540) 779-1648
(540) 602-7062
Mailing address
3 SUTTON CT, STAFFORD, VA 22554-8335
(360) 970-7708
(703) 441-2574
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
08/14/2019
Last updated
03/30/2023
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