Individual
MRS. CAROLE DENSE GRADY-MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
412 WINSTON CT APT 4, ITHACA, NY 14850-1959
(315) 708-1650
Mailing address
412 WINSTON CT APT 4, ITHACA, NY 14850-1959
(315) 708-1650
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
263190-01
NY
Other
Enumeration date
01/20/2026
Last updated
01/20/2026
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