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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GRACEVINE HEALTHCARE SVCS A PROFESSNAL NURSING CORP

Active Organization

GRACEVINE HEALTHCARE SVCS A PROFESSNAL NURSING CORP is a Family Nurse Practitioner organization located in SAN BERNARDINO, California. NPI 1255050084 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · SAN BERNARDINO, CA

Registration Details

NPI Number
1255050084
Provider Type
Organization
NPI Issued
Aug 24, 2022 (3.9725248598117 yrs)
Last Updated
May 27, 2025

Practice Information

Address
473 E CARNEGIE DR STE 200
SAN BERNARDINO, CA, 924084201
Browse CA providers · Browse ZIP 92408
Phone
9097431300
Primary Specialty
Family Nurse Practitioner
363LF0000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.