Provider Demographics
NPI:1487905246
Name:QARMOUT, GRACE RUTH (RN , NPC)
Entity type:Individual
Prefix:
First Name:GRACE
Middle Name:RUTH
Last Name:QARMOUT
Suffix:
Gender:F
Credentials:RN , NPC
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Mailing Address - Street 1:80 EISENHOWER DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-1430
Mailing Address - Country:US
Mailing Address - Phone:201-843-2800
Mailing Address - Fax:973-939-0273
Practice Address - Street 1:80 EISENHOWER DR
Practice Address - Street 2:SUITE 200
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-1430
Practice Address - Country:US
Practice Address - Phone:201-843-2800
Practice Address - Fax:973-939-0273
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-19
Last Update Date:2017-04-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00393500363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care