Healthcare Provider Details

I. General information

NPI: 1760315899
Provider Name (Legal Business Name): MS. EDELYNN GRATERAUX
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 PARENT ST
SPENCER MA
01562-2421
US

IV. Provider business mailing address

6 PARENT ST
SPENCER MA
01562-2421
US

V. Phone/Fax

Practice location:
  • Phone: 774-415-4382
  • Fax:
Mailing address:
  • Phone: 774-415-4382
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: