Carolyn Nan Gracie in Kentfield - Psychiatry

Carolyn Nan Gracie - NPI 1639260862

Carolyn Nan Gracie is a Psychiatry in Kentfield, California. Carolyn Nan Gracie practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Carolyn Nan Gracie is 1639260862. The last update date is 2007-07-08.

Carolyn Nan Gracie's current location address is 810 College Ave, Kentfield, California. You can contact this provider via phone number 4154594311. The mailing address for Carolyn Nan Gracie is 810 College Ave, Kentfield, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Carolyn Nan Gracie
Address 810 College Ave, Kentfield, California
Phone Number 4154594311
Fax Number
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1639260862
Provider Enumeration Date 2006-09-26
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 810 College Ave
City Kentfield
State California (CA)
Post Code 949042532
Phone Number 4154594311
Fax Number

Provider's Primary Taxonomy Detail

Speciality Psychiatry
Taxonomy 2084P0800X
Licence No A33033
Definition:
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
A33033 CA LICENSE NUMBER

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FAQs about Carolyn Nan Gracie

What is the unique provider identifier assigned to Carolyn Nan Gracie?

The Carolyn Nan Gracie has been issued the NPI (National Provider Identifier) 1639260862 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Carolyn Nan Gracie's facilities are geographically located?

The facilities of Carolyn Nan Gracie are physically situated at the following location: 810 College Ave, Kentfield, CA, 949042532.

What is the Carolyn Nan Gracie's specialty and taxonomy code?

The Carolyn Nan Gracie's specialty is Psychiatry, and the corresponding taxonomy code is 2084P0800X.

On what date did the Centers for Medicare & Medicaid Services issue the 1639260862 to Carolyn Nan Gracie?

The Carolyn Nan Gracie received its 1639260862 assignment from the Centers for Medicare & Medicaid Services on 2006-09-26.

As of what date were the details pertaining to Carolyn Nan Gracie last refreshed?

The information related to the Carolyn Nan Gracie, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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