Pedersen, Grace
Pedersen, Grace is an individual health care provider with primary practice located at 1211 Dunlawton Ave , Port Orange FL 32127-2913. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Pedersen, Grace can be contacted via phone (386) 675-4411.Contact Information
Primary practice address
1211 Dunlawton Ave
Port Orange FL 32127-2913
Phone: (386) 675-4411
Fax: (386) 675-4419
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | ARNP1617512 | Florida |
Profile Details
| NPI number | 1528385176 |
|---|---|
| LBN Legal business name | Pedersen, Grace |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 22nd, 2010 |
| Last updated | Apr 22nd, 2010 - about 15 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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