MS. KLAIR GRACE


Address: 6460 Convoy Ct Spc 115, San Diego, CA 92117-2314
Phone: 7146080858

MS. KLAIR GRACE (NPI# 1043859531) 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) 1043859531
Entity Type Individual
Full Name MS. KLAIR GRACE
Credential RN
Practice Address 6460 Convoy Ct Spc 115
San Diego
CA 92117-2314
Practice Telephone 7146080858
Mailing Telephone 7146080858
Enumeration Date 2019-12-31
Last Update Date 2019-12-31
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WP0809X Registered Nurse
Specialization: Psych/Mental Health, Adult
95175274 CA Nursing Service Providers

Office Location

Street Address 6460 CONVOY CT SPC 115
City SAN DIEGO
State CA
Zip Code 92117-2314

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Taxonomy Information

Taxonomy Code 163WP0809X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Psych/Mental Health, Adult

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689204265 Juvelyn Isip Ingal Registered Nurse 3853 Rosecrans St # Ca92110, San Diego, CA 92110-3115 2020-01-22
1225509656 Erwin Orio Fong Registered Nurse 3853 Rosecran St, San Diego, CA 92110-3115 2018-12-11
1780139220 Sarah Sangalang Villanueva Registered Nurse 1625 Chalcedony St, 205, San Diego, CA 92109-3169 2016-08-24
1538510391 Mayu Winters Registered Nurse 853 Rosecrans St, San Diego, CA 92110 2016-06-23
1063870376 Matthew O'connor Registered Nurse 3417 Front St, San Diego, CA 92103-4813 2016-02-01
1417320599 Brittany Moore Registered Nurse 4335 Hamilton St Apt 6, San Diego, CA 92104-1271 2015-11-11
1174992812 Farren Kelly Joynes Registered Nurse 6713 Waterman Ct, San Diego, CA 92111-6033 2015-09-23
1922476886 Nichole Jimmi Registered Nurse 1670 Kettner Blvd, Apt 122, San Diego, CA 92101-2522 2015-09-09
1700158672 Vitaly Juravsky Registered Nurse 3853 Rosecrans Street San Diego, Ca, San Diego, CA 92110 2012-02-07
1285821462 Hugh E. Moore Registered Nurse 2961 Edell Pl, San Diego, CA 92117-1618 2007-10-01
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Competitor

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City SAN DIEGO
Zip Code 92117

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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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