Healthcare Provider Details

I. General information

NPI: 1184594319
Provider Name (Legal Business Name): JULIA GRACE LAW RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/11/2025
Last Update Date: 11/11/2025
Certification Date: 11/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33480 13TH PL S
FEDERAL WAY WA
98003-6357
US

IV. Provider business mailing address

817 N FIFE ST
TACOMA WA
98406-7305
US

V. Phone/Fax

Practice location:
  • Phone: 253-285-7101
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN60081985
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: