Healthcare Provider Details

I. General information

NPI: 1750926093
Provider Name (Legal Business Name): GRACE SCHIERBERL RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/11/2019
Last Update Date: 11/02/2022
Certification Date: 11/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 TACOMA ST
WORCESTER MA
01605-3516
US

IV. Provider business mailing address

38 S LENOX ST APT 2
WORCESTER MA
01602-2522
US

V. Phone/Fax

Practice location:
  • Phone: 800-853-2288
  • Fax:
Mailing address:
  • Phone: 860-202-6110
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License NumberRN2337128
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN2337128
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: