Organization
GRACE NP MD ADULT FAMILY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA ANYAEJI NP (OWNER MEMBER)
(520) 331-7462
Entity
Organization
Contact information
Practice address
4721 N 1ST AVE, TUCSON, AZ 85718-5610
(520) 373-6550
Mailing address
8311 W CANVASBACK LN, TUCSON, AZ 85757-6826
(520) 331-7462
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/22/2021
Last updated
06/22/2021
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