Grace, Andrea L

Grace, Andrea L is an individual health care provider with primary practice located at 1721 E 19Th Ave Ste 300 , Denver CO 80218-1258. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Grace, Andrea L can be contacted via phone (720) 754-4800.

Contact Information

Primary practice address
1721 E 19Th Ave Ste 300 Denver CO 80218-1258
Phone: (720) 754-4800
Fax: (720) 754-4801
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 2260 Colorado

Profile Details

NPI number 1083675995
LBN Legal business name Grace, Andrea L
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2006
Last updated Nov 14th, 2023 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1083675995 NPPES
Colorado MEDICAID 85289221
Colorado Other COAAA1569

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