NPI 1003707514

Grace Vicars

Practitioner Physician Assistant Greenwood, IN

Practice location

Address: 1001 N Madison Ave, Greenwood, IN 46142-4135
Phone: (317) 528-7500
Fax: (317) 528-7515
Mailing address: PO Box 781076, Detroit, MI 48278-1008

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 10005045A (IN)

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Registry record

NPI: 1003707514
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Jul 2025
Record last updated: 23 Oct 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.