Nurse Practitioner, Family
GRACE AN Nurse practitioner
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1013447341 · enumerated 2017-06-19 · record updated 2018-06-19. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 539 BLOOMFIELD AVE STE 1, NEWARK, NJ, 07107-1385 (735) 669-9009 Fax (735) 666-6929 Google Maps Apple Maps OpenStreetMap
- Practice location 111 E 210TH ST FL 2, BRONX, NY, 10467 (718) 920-7303 Fax (718) 652-6642 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Family 363LF0000X · Primary · License F341274 NY
In this directory
Locations and evidence
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Practice location
BRONX, NY, 10467
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.