Gracius-Green, Edith
Gracius-Green, Edith is an sole proprietor health care provider with primary practice located at Po Box 3042 , Fort Leavenworth KS 66027-0042. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Gracius-Green, Edith can be contacted via phone (615) 877-5651.Contact Information
Primary practice address
Po Box 3042
Fort Leavenworth KS 66027-0042
Phone: (615) 877-5651
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 83373 | Kansas |
Profile Details
| NPI number | 1174368310 |
|---|---|
| LBN Legal business name | Gracius-Green, Edith |
| Credentials | PMHNP-BC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 28th, 2024 |
| Last updated | Jul 16th, 2024 - 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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