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NPI Code Detail

MEDICARE: TRUGRACE WOUND CARE, LLC

MEDICARE: TRUGRACE WOUND CARE, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2200XAdult Health Nurse Practitioner

General Provider Information

NPI Number : 1093597908
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRUGRACE WOUND CARE, LLC
Provider Business Mailing Address
First Line : 5142 N ACADEMY BLVD
Second Line : #1083
City : COLORADO SPRINGS
State : CO
Zip : 80918-4002
Country : US
Telephone Number : 719-466-1827
Fax Number :
Provider Business Practice Location Address
First Line : 5142 N ACADEMY BLVD
Second Line : #1083
City : COLORADO SPRINGS
State : CO
Zip : 80918-4002
Country : US
Telephone Number : 719-466-1827
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : LINDA COUGER
Credential : DNP, ANP-C
Telephone Number : 719-466-1827
Provider Enumeration Date : 10/16/2023
Last Update Date : 10/16/2023

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Directions to “TRUGRACE WOUND CARE, LLC ” Practice Location

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