Individual
TRACI GRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
408 1ST ST NW, MASON CITY, IA 50401
(641) 424-8708
(641) 421-7809
Mailing address
100 CHICKASAW ST, RUDD, IA 50471-5018
(641) 220-0303
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
089503
IA
Other
Enumeration date
03/30/2017
Last updated
03/30/2017
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