Organization
AMAZING GRACE PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE OKHUEREIGBE FNP (PRESIDENT)
(301) 875-5511
Entity
Organization
Contact information
Practice address
1412 CRAIN HWY N STE 3A, GLEN BURNIE, MD 21061-7000
(301) 875-5511
Mailing address
1412 CRAIN HWY N STE 3A, GLEN BURNIE, MD 21061-7000
(301) 875-5511
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/03/2021
Last updated
12/03/2021
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