Carolyn M Gracia is a Pediatrics in Memphis, Tennessee. Carolyn M Gracia practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Carolyn M Gracia is 1770557423. The last update date is 2021-04-07.
Carolyn M Gracia's current location address is 850 Poplar Ave Bldg 2, Memphis, Tennessee. You can contact this provider via phone number 9012877337. The mailing address for Carolyn M Gracia is 850 Poplar Ave Bldg 2, Memphis, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carolyn M Gracia |
|---|---|
| Address | 850 Poplar Ave Bldg 2, Memphis, Tennessee |
| Phone Number | 9012877337 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | APRN |
NPI Number Detail
| NPI Number | 1770557423 |
|---|---|
| Provider Enumeration Date | 2006-02-16 |
| Last Updated Date | 2021-04-07 |
Provider Mailing Address Detail
| Address | 850 Poplar Ave Bldg 2 |
|---|---|
| City | Memphis |
| State | Tennessee (TN) |
| Post Code | 381054607 |
| Phone Number | 9012877337 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | 28797 |
|
Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| Q064647 | TN | -- | |
| 18868100 | FL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Carolyn M Gracia by the Centers for Medicare & Medicaid Services?
The Carolyn M Gracia has been assigned the NPI (National Provider Identifier) 1770557423 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Carolyn M Gracia is geographically located?
The Carolyn M Gracia is physically situated at the following location: 850 Poplar Ave Bldg 2, Memphis, TN, 381054607.
What is Carolyn M Gracia's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Carolyn M Gracia is Pediatrics, and the taxonomy code that classifies this field of practice is 363Lp0200X.
On what date did the Carolyn M Gracia receive its 1770557423 assignment from the Centers for Medicare & Medicaid Services?
The Carolyn M Gracia was assigned its 1770557423 by the Centers for Medicare & Medicaid Services on 2006-02-16.
As of what date was the information pertaining to Carolyn M Gracia, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Carolyn M Gracia, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-04-07.
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