Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Grace Anna Walcott

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1417625336

Grace Anna Walcott is a Student in an Organized Health Care Education/Training Program in Berkeley, California. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

2712 Telegraph Ave
Berkeley, CA 94705-1117
Phone: (510) 548-8283
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1417625336
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 3, 2021
Last updated in NPPESSeptember 3, 2021
Certification dateSeptember 3, 2021
Mailing address5775 Broadway, Oakland, CA 94618-1571

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