Provider Demographics
NPI:1285068197
Name:VALAPARLA, GRACE ANURADHA (NP)
Entity type:Individual
Prefix:
First Name:GRACE
Middle Name:ANURADHA
Last Name:VALAPARLA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16312 BRIDGEHAMPTON CLUB DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277-1752
Mailing Address - Country:US
Mailing Address - Phone:603-320-3360
Mailing Address - Fax:
Practice Address - Street 1:4 COURTHOUSE LN
Practice Address - Street 2:SUITES 1-3
Practice Address - City:CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01824-1728
Practice Address - Country:US
Practice Address - Phone:978-452-0052
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-27
Last Update Date:2024-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN272804363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily