Individual
GRACE WARWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
505 N PITTSBURGH STREET, CONNELLSVILLE, PA 15425-3220
(724) 603-6200
(724) 626-4480
Mailing address
599 N CHURCH STREET, SUITE 200, MOUNT PLEASANT, PA 15666-1004
(724) 542-5349
(724) 542-4658
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP025296
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104032417
—
PA
Enumeration date
02/08/2022
Last updated
09/09/2022
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