| Ample Grace Llc | |
|
1710 Douglas Dr N Ste 204 Golden Valley MN 55422-4387 | |
| (612) 433-2936 | |
| Not Available |
| Full Name | Ample Grace Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1710 Douglas Dr N Ste 204, Golden Valley, Minnesota |
| Authorized Official Name and Position | Uhunoma Osadolor (PMHNP) |
| Authorized Official Contact | 7636004881 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ample Grace Llc 1710 Douglas Dr N Ste 204 Golden Valley MN 55422-4387 Ph: () - | Ample Grace Llc 1710 Douglas Dr N Ste 204 Golden Valley MN 55422-4387 Ph: (612) 433-2936 |
| NPI Number | 1952971657 |
|---|---|
| Provider Enumeration Date | 06/26/2021 |
| Last Update Date | 03/31/2025 |
| Certification Date | 03/31/2025 |
| Medicare PECOS PAC ID | 1254724313 |
|---|---|
| Medicare Enrollment ID | O20220214000384 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952971657 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Uhunoma Osadolor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295314391 PECOS PAC ID: 3173925823 Enrollment ID: I20210716002533 |
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