Provider Demographics
NPI:1942550140
Name:LAIRD, GRACE AMELIE (RN, ANP-C)
Entity Type:Individual
Prefix:MRS
First Name:GRACE
Middle Name:AMELIE
Last Name:LAIRD
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Gender:F
Credentials:RN, ANP-C
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Mailing Address - Street 1:6410 FANNIN STREET STE # 225
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030
Mailing Address - Country:US
Mailing Address - Phone:713-799-8300
Mailing Address - Fax:713-799-8305
Practice Address - Street 1:1615 HILLENDAHIL BLVD
Practice Address - Street 2:SUITE # 100
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055
Practice Address - Country:US
Practice Address - Phone:713-462-6565
Practice Address - Fax:713-462-6581
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-14
Last Update Date:2019-02-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX741418363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health