Ma. Grace P Adler

Individual provider Active NPI Registered Nurse · Longmont, CO

NPI 1295026839 · NPPES record last updated May 1, 2011

Key facts

NPI
1295026839
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
164731 (CO)
Practice address
944 Dannys CT
Longmont, CO 80501-4236
Phone
(720) 652-6402
NPI assigned
May 1, 2011
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
164731COMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 164731 CO Yes

Addresses

Primary practice location

944 Dannys CT
Longmont, CO 80501-4236

Mailing address

944 Dannys CT
Longmont, CO 80501-4236

Other providers in Longmont, CO

All providers in Longmont, CO · Registered Nurse in Colorado

Sources for this page

Verify at the official NPI Registry.