Amarali, Grace Eleanor

Amarali, Grace Eleanor is an sole proprietor health care provider with primary practice located at 2523 Westberry Dr , Santa Rosa CA 95403-4183. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Case Management, Other Service Providers / Case Manager/Care Coordinator. Nursing Service Providers / Case Management is her primary health care specialty. Amarali, Grace Eleanor can be contacted via phone (707) 544-4703.

Contact Information

Primary practice address
2523 Westberry Dr Santa Rosa CA 95403-4183
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Case Management 163WC0400X RN467219 California
Other Service Providers / Case Manager/Care Coordinator 171M00000X RVN004520 California

Profile Details

NPI number 1467641142
LBN Legal business name Amarali, Grace Eleanor
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 18th, 2007
Last updated Oct 18th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467641142 NPPES
California Other RN467219 REGISTERED NURSE
California Other RVN004520 REGISTERED NURSE

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