PROF. GRACE BARROSA GENETIANO


Address: 2503 Roswell Ave Unit 507, Charlotte, NC 28209-1685
Phone: 7043015133

PROF. GRACE BARROSA GENETIANO (NPI# 1720626773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720626773
Entity Type Individual
Full Name PROF. GRACE BARROSA GENETIANO
Practice Address 2503 Roswell Ave Unit 507
Charlotte
NC 28209-1685
Practice Telephone 7043015133
Mailing Telephone 7043015133
Enumeration Date 2019-12-19
Last Update Date 2019-12-19
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
5004335 NC Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2503 ROSWELL AVE UNIT 507
City CHARLOTTE
State NC
Zip Code 28209-1685

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1275943011 Cameron Cunningham Anesthesiology 1515 Mockingbird Ln Ste 680, Charlotte, NC 28209 2014-05-02
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1801117676 Rosemary Nmi Lucas Physical Therapist 2910 Selwyn Ave #359, Charlotte, NC 28209 2010-06-16
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952900268 Jennifer Marie Wolfe Nurse Practitioner 831 E Morehead St Ste 900, Charlotte, NC 28202-2726 2020-10-19
1992312433 Jean L. Caroline Clippard Nurse Practitioner 7149 Wessynton Dr, Charlotte, NC 28226-7548 2020-09-29
1790393676 Alana Weldon Nurse Practitioner 10042 Park Cedar Dr, Charlotte, NC 28210-8916 2020-07-16
1114541455 Kendra Jackson Nurse Practitioner 2809 Coltsgate Rd Ste 100, Charlotte, NC 28211-5583 2020-06-02
1740809599 Nina Cherry Arnold Nurse Practitioner 8914 Cotton Press Rd, Charlotte, NC 28277-6676 2020-04-13
1619509197 Clinica San Antonio Pllc Nurse Practitioner 416 Mccullough Dr Ste 110, Charlotte, NC 28262-4387 2020-02-12
1376181081 Crystal Delgado Calayag Frantilla Nurse Practitioner 4206 Craig Ave, Charlotte, NC 28211-3110 2019-12-12
1962059428 Jerome Virgil Whitlow II Nurse Practitioner 6523 Dillard Ridge Dr, Charlotte, NC 28216-8845 2019-08-20
1053978213 Katie Lynn Sass Nurse Practitioner 7004 Smith Corners Blvd Ste A, Charlotte, NC 28269-3827 2019-05-23
1710440722 Andrea Denise Duncan Nurse Practitioner 2944 Hosta Dr, Charlotte, NC 28269-3054 2019-04-08
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Competitor

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City CHARLOTTE
Zip Code 28209

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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