Provider Demographics
NPI:1528677234
Name:HOVEY, GRACE MARIE (CNM)
Entity type:Individual
Prefix:
First Name:GRACE
Middle Name:MARIE
Last Name:HOVEY
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 TEMPLE ST
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06510-2715
Mailing Address - Country:US
Mailing Address - Phone:203-789-2011
Mailing Address - Fax:
Practice Address - Street 1:40 TEMPLE ST STE 7A
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06510-2715
Practice Address - Country:US
Practice Address - Phone:203-789-2011
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-28
Last Update Date:2024-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT478367A00000X
CT130915163WX0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No163WX0003XNursing Service ProvidersRegistered NurseObstetric, Inpatient
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT478OtherSTATE OF CONNECTICUT DEPARTMENT OF PUBLIC HEALTH- LICENSED NURSE MIDWIFE
CT130915OtherBOARD OF EXAMINERS FOR NURSING
MA2303138OtherBOARD OF REGISTRATION IN NURSING