Healthcare Provider Details

I. General information

NPI: 1871561514
Provider Name (Legal Business Name): GRACE ELLEN URQUHART ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/09/2006
Last Update Date: 06/27/2025
Certification Date: 06/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2158 LAWSON CREEK RD APT D
DOUGLAS AK
99824-5024
US

IV. Provider business mailing address

2067 WESTERN PECAN
NEW BRAUNFELS TX
78130-2762
US

V. Phone/Fax

Practice location:
  • Phone: 85-994-8966
  • Fax:
Mailing address:
  • Phone: 859-948-9669
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number4473P
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number1220
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: