Individual
GRACE MARVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16 ALPINE RD, WINDHAM, NH 03087-1821
(603) 799-2420
(978) 228-6775
Mailing address
16 ALPINE RD, WINDHAM, NH 03087-1821
(603) 799-2420
(978) 228-6775
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
055837-23
NH
363LF0000X
Family Nurse Practitioner
RN264965
MA
Other
Enumeration date
01/19/2011
Last updated
08/07/2023
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