MEDICARE: ANAND GRACE

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
1	171400000X	Health & Wellness Coach

General Provider Information

NPI Number	:	1174470900
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANAND GRACE

Provider Business Mailing Address
First Line	:	3333 S WADSWORTH BLVD UNIT D160
Second Line	:
City	:	LAKEWOOD
State	:	CO
Zip	:	80227-5131
Country	:	US
Telephone Number	:	720-722-1143
Fax Number	:

Provider Business Practice Location Address
First Line	:	3333 S WADSWORTH BLVD UNIT D160
Second Line	:
City	:	LAKEWOOD
State	:	CO
Zip	:	80227-5131
Country	:	US
Telephone Number	:	720-722-1143
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/11/2026
Last Update Date	:	03/11/2026

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Directions to “ ANAND GRACE ” Practice Location

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