| Amazing Grace Healthcare Pllc | |
|
845 Johns Hopkins Dr Ste B Greenville NC 27834-7200 | |
| (252) 864-1431 | |
| Not Available |
| Full Name | Amazing Grace Healthcare Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 845 Johns Hopkins Dr Ste B, Greenville, North Carolina |
| Authorized Official Name and Position | Cinthia Dayanara Pineda (FAMILY NURSE PRACTITIONER) |
| Authorized Official Contact | 2528641431 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amazing Grace Healthcare Pllc 845 Johns Hopkins Dr Ste B Greenville NC 27834-7200 Ph: (252) 864-1431 | Amazing Grace Healthcare Pllc 845 Johns Hopkins Dr Ste B Greenville NC 27834-7200 Ph: (252) 864-1431 |
| NPI Number | 1689329930 |
|---|---|
| Provider Enumeration Date | 02/15/2022 |
| Last Update Date | 08/02/2022 |
| Medicare PECOS PAC ID | 2466831912 |
|---|---|
| Medicare Enrollment ID | O20220614001429 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689329930 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| Provider Name | Cinthia D Pineda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770829277 PECOS PAC ID: 1658510383 Enrollment ID: I20130610000462 |
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