Individual
GRACE MODINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, CNP, PMHNP-BC
Contact information
Practice address
360 SHERMAN ST STE 390, SAINT PAUL, MN 55102-3865
(855) 396-0532
(651) 689-8288
Mailing address
360 SHERMAN ST STE 360, SAINT PAUL, MN 55102-2564
(855) 396-0532
(651) 689-8288
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11828
MN
Other
Enumeration date
07/24/2024
Last updated
10/22/2025
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