Grace, Carly Elizabeth

Grace, Carly Elizabeth is an sole proprietor health care provider with primary practice located at 6035 W Transit St , Fayetteville AR 72704-5097. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Other Service Providers / Lactation Consultant, Non-RN. Other Service Providers / Lactation Consultant, Non-RN is her primary health care specialty. Grace, Carly Elizabeth can be contacted via phone (479) 485-1215.

Contact Information

Primary practice address
6035 W Transit St Fayetteville AR 72704-5097
Phone: (479) 485-1215
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 1140 Arkansas
Other Service Providers / Lactation Consultant, Non-RN 174N00000X

Profile Details

NPI number 1770264277
LBN Legal business name Grace, Carly Elizabeth
Credentials RD, IBCLC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2023
Last updated Jul 27th, 2023 - about last year

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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