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General NPI Number Information
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NPI Number | 1700332103
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Entity Type | Individual
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Provider Name | GRACE-ANNE STIMPSON MSN, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/26/2016
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Last Update Date | 12/05/2023
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Provider Practice Location Address
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Address Line | 6565 AMERICAS PKWY NE STE 200
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City | ALBUQUERQUE
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State | NM
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Zip | 87110-8172
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Country | US
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Telephone | 505-932-7610
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Fax |
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Provider Business Mailing Address
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Address Line | 6565 AMERICAS PKWY NE STE 200
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City | ALBUQUERQUE
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State | NM
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Zip | 87110-8172
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Country | US
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Telephone | 505-932-6413
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Fax | 715-227-2868
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 0024179525
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 1000542
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 5008837
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95015744
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 9344110
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | C-APN.0101386-C-NP
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License Number State | CO
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Taxonomy #7
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 60360
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License Number State | NM
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