Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GRACE FANTL, PA-C
ActiveGRACE FANTL, PA-C is a Physician Assistant healthcare provider located in N DARTMOUTH, Massachusetts. NPI 1710461595 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · N DARTMOUTH, MA
Registration Details
- NPI Number
- 1710461595
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 18, 2018 (7.9038565170333 yrs)
- Last Updated
- Dec 20, 2022
- License
-
PA8620 (MA)
Practice Information
- Address
-
145 FAUNCE CORNER MALL RDN DARTMOUTH, MA, 027476216Browse MA providers · Browse ZIP 02747
- Phone
- 5089937601
- Fax
- 5089970523
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in N DARTMOUTH, MA
| Name | Credential | NPI |
|---|---|---|
| MARK E WHITE | PA-C | 1679560635 |
| LISSETTE CHAO | P.A. | 1902975220 |
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.