Individual
MRS. CONNIE LYNNE GRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3501 JOHNSON ST, HOLLYWOOD, FL 33021-5421
(954) 985-3414
(954) 967-2984
Mailing address
21450 HIGHLAND LAKES BLVD, NORTH MIAMI BEACH, FL 33179-1661
(305) 935-0019
(954) 967-2984
Taxonomy
Speciality
Code
Description
License number
State
363LX0106X
Occupational Health Nurse Practitioner
Primary
53660-2
FL
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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