| Grace Vitale Wellness, Llc | |
|
1400 N Coit Rd Ste 302 Mckinney TX 75071-6656 | |
| (945) 542-0218 | |
| Not Available |
| Full Name | Grace Vitale Wellness, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1400 N Coit Rd Ste 302, Mckinney, Texas |
| Authorized Official Name and Position | Katherine Grace Grimmett (FAMILY NURSE PRACTITIONER) |
| Authorized Official Contact | 9455420218 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Vitale Wellness, Llc 1400 N Coit Rd Ste 302 Mckinney TX 75071-6656 Ph: (945) 542-0218 | Grace Vitale Wellness, Llc 1400 N Coit Rd Ste 302 Mckinney TX 75071-6656 Ph: (945) 542-0218 |
| NPI Number | 1124763685 |
|---|---|
| Provider Enumeration Date | 04/29/2022 |
| Last Update Date | 08/02/2022 |
| Medicare PECOS PAC ID | 1557735339 |
|---|---|
| Medicare Enrollment ID | O20230317000305 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124763685 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Katherine Grace Epps |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851888473 PECOS PAC ID: 0244587590 Enrollment ID: I20180718002157 |
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