Doctor Name: | MS. GRACE ANN PATOUNAS |
NPI Number: | 1053415224 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N.,A.P.N. |
License Number: | 26NC06037200 |
Business Practice Address: | 385 Tremont Ave Dept. Of Veteran Affairs Nj Health Care System East Orange, NJ - 070181023 |
Business Phone Number: | 9736761000 |
Business Fax Number: | |
Mailing Address: | 56 68th St Apt 4, GUTTENBERG |
State: | NJ |
Postal Code: | 070934422 |
Phone Number: | 2018696975 |
Fax Number: | |
NPI Enumeration Date: | 09/11/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SP0808X |
License Number: | 26NC06037200 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |