Prof Justin Charles Grace, MSN-ED, APRN, PMHNP | |
15656 Randolph Pl, Denver, CO 80239-7024 | |
(732) 614-9321 | |
Not Available |
Full Name | Prof Justin Charles Grace |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 15656 Randolph Pl, Denver, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730957903 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 0999501 (Colorado) | Primary |
163W00000X | Registered Nurse | 1679432 (Colorado) | Secondary |
Entity Name | Av8r & Np Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093427924 PECOS PAC ID: 1456725217 Enrollment ID: O20230316002823 |
Mailing Address | Practice Location Address |
---|---|
Prof Justin Charles Grace, MSN-ED, APRN, PMHNP 15656 Randolph Pl, Denver, CO 80239-7024 Ph: (732) 614-9321 | Prof Justin Charles Grace, MSN-ED, APRN, PMHNP 15656 Randolph Pl, Denver, CO 80239-7024 Ph: (732) 614-9321 |
Ms. Kiok Cho, ANP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 55 Madison St Ste 355, Denver, CO 80206 Phone: 303-377-2020 | |
Barbara E Anderson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 777 Bannock St, Denver, CO 80204 Phone: 303-602-0340 | |
Suzanne Marie Ehler, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2045 N Franklin St, Denver, CO 80205 Phone: 303-338-4545 | |
Ashley Ann Zimbler, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2810 Quebec St, Denver, CO 80207 Phone: 303-370-5870 | |
Mrs. Elisha Elizabeth Mcguire, CPNP-AC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2055 N High St Ste 270, Denver, CO 80205 Phone: 303-301-9010 | |
Kelsey Lee Swanson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1532 Dahlia St, Denver, CO 80220 Phone: 702-274-9199 | |
Brea Deann Kilpatrick, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1900 N Grant St Ste 600, Denver, CO 80203 Phone: 970-310-3406 |