Grace L Andersen, RN
Individual provider Active NPI Registered Nurse · Saint James, NY
NPI 1992978613 · NPPES record last updated Apr 3, 2008
Key facts
- NPI
- 1992978613
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 568419 (NY)
- Practice address
- 52 Vanderbilt Ave
Saint James, NY 11780-1732 - Phone
- (631) 584-9031
- NPI assigned
- Apr 3, 2008
- 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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 568419 | NY | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 568419 | NY | Yes |
Addresses
Primary practice location
52 Vanderbilt Ave
Saint James, NY 11780-1732
Mailing address
52 Vanderbilt Ave
Saint James, NY 11780-1732
Phone (631) 584-9031
Other providers in Saint James, NY
- A. D'Alessandro, MD, PC
- Acupuncture Wellness Services, PLLC
- Jane Chapin Alsop
- Cindy Alvarenga
- Amb LMT PC
- Marisa Andersen
- Alexandra Andrade
- Anne Dalton Morabito CSW PC
- Alexandra Argenio
- Keri Lynn Armentano
All providers in Saint James, NY · Registered Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.