Organization
ALICE PLACE HEALTH CARE SERVICES
Active
Other names
Alice Place Medical Care Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MONNIE ESTHER ADERETI DNP (FNP)
(469) 756-7021
Entity
Organization
Contact information
Practice address
3333 WILLOUBY DR, GRAND PRAIRIE, TX 75052-6129
(615) 810-5983
Mailing address
2719 LA JOLLA BLVD, GRAND PRAIRIE, TX 75054-0299
(469) 756-7021
(469) 502-3622
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922498468
—
TX
Enumeration date
07/06/2020
Last updated
12/22/2021
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