Collupy, Grace Evelyn
Collupy, Grace Evelyn is an individual health care provider with primary practice located at 719 Rodel Cv , Lake Mary FL 32746-5716. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Collupy, Grace Evelyn can be contacted via phone (407) 262-5710.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 9244471 | Florida |
Profile Details
| NPI number | 1417140344 |
|---|---|
| LBN Legal business name | Collupy, Grace Evelyn |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2007 |
| Last updated | Jan 20th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417140344 | NPPES |
| Florida | MEDICAID | 308599600 |
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