Individual
GRACE ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
55 MIDDLESEX ST STE 6, NORTH CHELMSFORD, MA 01863-1569
(603) 600-1033
(978) 428-5811
Mailing address
1001 ELM ST STE 106H, MANCHESTER, NH 03101-1828
(603) 600-1033
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2282655
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000
BLUE CROSS BLUE SHIELD
MA
05
—
000000
—
MA
Enumeration date
10/20/2021
Last updated
03/08/2024
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