Healthcare Provider Details

I. General information

NPI: 1457955759
Provider Name (Legal Business Name): GRACE A. NOYNAY FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/27/2020
Last Update Date: 04/17/2025
Certification Date: 04/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8175 SHERIDAN BLVD UNIT N
ARVADA CO
80003-1928
US

IV. Provider business mailing address

8175 SHERIDAN BLVD UNIT N
ARVADA CO
80003-1928
US

V. Phone/Fax

Practice location:
  • Phone: 303-557-0855
  • Fax: 415-252-7176
Mailing address:
  • Phone: 303-557-0855
  • Fax: 415-252-7176

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0996060
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: