Grace, Shianne
Grace, Shianne is an sole proprietor health care provider with primary practice located at 168 Wood Rd , South Yarmouth MA 02664-4228. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Student, Health Care / Student in an Organized Health Care Education/Training Program. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Grace, Shianne can be contacted via phone (508) 292-6730.Contact Information
Primary practice address
168 Wood Rd
South Yarmouth MA 02664-4228
Phone: (508) 292-6730
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 11012808 | Florida |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1801420658 |
|---|---|
| LBN Legal business name | Grace, Shianne |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 2nd, 2020 |
| Last updated | Dec 4th, 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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