Provider Demographics
NPI:1871561514
Name:URQUHART, GRACE ELLEN (ARNP)
Entity type:Individual
Prefix:
First Name:GRACE
Middle Name:ELLEN
Last Name:URQUHART
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2067 WESTERN PECAN
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-2762
Mailing Address - Country:US
Mailing Address - Phone:859-948-9669
Mailing Address - Fax:
Practice Address - Street 1:2158 LAWSON CREEK RD APT D
Practice Address - Street 2:
Practice Address - City:DOUGLAS
Practice Address - State:AK
Practice Address - Zip Code:99824-5024
Practice Address - Country:US
Practice Address - Phone:085-994-8966
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-09
Last Update Date:2025-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4473P363L00000X
AK1220363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY78014636Medicaid
000000363981OtherBCBS HHC
7229645OtherAETNA
000000385627OtherBCBS BPC
1221653OtherCHA HHC
KY0912224Medicare ID - Type UnspecifiedHHC
000000363981OtherBCBS HHC
7229645OtherAETNA