Individual
CARROLLYN E GRACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN PCNS
Contact information
Practice address
345 BLACKSTONE BLVD, PROVIDENCE, RI 02906
(401) 270-7757
(401) 270-5788
Mailing address
345 BLACKSTONE BLVD, PROVIDENCE, RI 02906
(401) 270-7757
(401) 270-5788
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
PPNS00044
RI
Other
Enumeration date
08/03/2006
Last updated
12/04/2007
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