Healthcare Provider Details

I. General information

NPI: 1649489568
Provider Name (Legal Business Name): JOAN F. GREW N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2007
Last Update Date: 06/20/2025
Certification Date: 06/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

US DEPT OF STATE M/MED/QM SA-1
WASHINGTON DC
20522-0102
US

IV. Provider business mailing address

US DEPT OF STATE M/MED/QM SA-1
WASHINGTON DC
20522-0102
US

V. Phone/Fax

Practice location:
  • Phone: 202-663-1662
  • Fax:
Mailing address:
  • Phone: 202-663-1662
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number231719
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN1049830
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: