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

Grace Wiryawan, NP

Individual provider Family Nurse Practitioner · NPI 1003565664

Grace Wiryawan, NP is a Family Nurse Practitioner in Anaheim, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2022
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

3030 W Ball Rd
Anaheim, CA 92804-3897
Phone: (626) 872-9844
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95019521 (CA)

Record details

NPI number1003565664
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedMarch 21, 2022
Last updated in NPPESMarch 21, 2022
Certification dateMarch 21, 2022
Mailing address500 N Atlantic Blvd Apt 302, Alhambra, CA 91801-2230

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