Provider Demographics
NPI:1710511589
Name:GRACE OROPESA
Entity Type:Organization
Organization Name:GRACE OROPESA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GRAZIA
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:OROPESA
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:954-918-2820
Mailing Address - Street 1:11102 HERMITAGE HILL RD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63131-3323
Mailing Address - Country:US
Mailing Address - Phone:954-918-2820
Mailing Address - Fax:305-723-3800
Practice Address - Street 1:11102 HERMITAGE HILL RD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63131-3323
Practice Address - Country:US
Practice Address - Phone:954-918-2820
Practice Address - Fax:305-723-3800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-02
Last Update Date:2020-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty