Individual
CAROLE ANN GRADY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
595 S BLUFF ST, ST GEORGE, UT 84770-3583
(435) 674-9933
Mailing address
2136 E 140 S, ST GEORGE, UT 84790-1567
(435) 229-6555
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
48399914405
UT
Other
Enumeration date
04/17/2006
Last updated
07/08/2007
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