Individual
GRACE OFFOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP, PMHNP
Contact information
Practice address
9877 GOOD LUCK RD APT 1, LANHAM, MD 20706-3232
(240) 705-5502
Mailing address
9877 GOOD LUCK RD APT 1, LANHAM, MD 20706-3232
(240) 705-5502
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R213043
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
R213043
MD
363LP2300X
Primary Care Nurse Practitioner
R213043
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
999395900
—
MD
Enumeration date
03/30/2021
Last updated
02/13/2026
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