Individual
GRACE MBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3261 OLD WASHINGTON RD STE 2020, WALDORF, MD 20602-3231
(301) 710-4218
(301) 396-7346
Mailing address
6012 BLACK BEAR CT, WALDORF, MD 20603-4342
(240) 413-4491
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AC006732
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
NP500020241
DC
Other
Enumeration date
08/20/2024
Last updated
01/16/2026
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