Ireri, Grace Wangari

Ireri, Grace Wangari is an sole proprietor health care provider with primary practice located at 128 Brighton Ave , Staten Island NY 10301-2841. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Ireri, Grace Wangari can be contacted via phone (646) 498-2902.

Contact Information

Primary practice address
128 Brighton Ave Staten Island NY 10301-2841
Phone: (646) 498-2902
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X AG06210049 New York
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X AG06210049 New York
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X AG06210049 New York

Profile Details

NPI number 1316600190
LBN Legal business name Ireri, Grace Wangari
Credentials AGNP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 18th, 2021
Last updated Oct 18th, 2021 - about 3 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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