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

MISS GRACE WANGARI IRERI, AGNP-C

Active Sole Proprietor

MISS GRACE WANGARI IRERI, AGNP-C is a Primary Care Nurse Practitioner healthcare provider located in STATEN ISLAND, New York. NPI 1316600190 is currently active in the NPPES registry. Verify at CMS.

Primary Care Nurse Practitioner · STATEN ISLAND, NY

Registration Details

NPI Number
1316600190
Provider Type
Individual
Gender
Female
NPI Issued
Oct 18, 2021 (4.7928540958779 yrs)
Last Updated
Oct 18, 2021
Licenses
AG06210049 (NY)
AG06210049 (NY)
AG06210049 (NY)
Sole Proprietor
Yes

Practice Information

Address
128 BRIGHTON AVE
STATEN ISLAND, NY, 103012841
Browse NY providers · Browse ZIP 10301
Phone
6464982902
Primary Specialty
Primary Care Nurse Practitioner
363LP2300X

Other Primary Care Nurse Practitioner Providers in STATEN ISLAND, NY

Name Credential NPI
CHERYL ANN NADEAU FNP 1750484986
MISS KASHAN SINGH 1235438490
DIANA ELIZABETH COSEGLIA-DANNA RN, HNP, FNP 1356620603
JOY STENNETT 1619380748
KERTJE RUBENSTEIN 1548801442
MR. VINCENT JAMES ONWUEMENE NP 1164044251
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.