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

GRACE SHOPE, PA-C

Active

GRACE SHOPE, PA-C is a Medical Physician Assistant healthcare provider located in FLEETWOOD, Pennsylvania. NPI 1548986003 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · FLEETWOOD, PA

Registration Details

NPI Number
1548986003
Provider Type
Individual
Gender
Male
NPI Issued
Oct 17, 2022 (3.6435118523627 yrs)
Last Updated
Jan 15, 2025
License
MA064117 (PA)

Practice Information

Address
14351 KUTZTOWN RD
FLEETWOOD, PA, 195229273
Browse PA providers · Browse ZIP 19522
Phone
6109448800
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in FLEETWOOD, PA

Name Credential NPI
KRISTIE CONRAD PA 1043433014
SETH CAMPBELL 1295103117
BRITNEY FANDL PA-C 1386424844
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.