Individual
PROF. GRACE DIANA REDDINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3555 PARK PL W STE 100, MISHAWAKA, IN 46545-3587
(574) 254-1041
Mailing address
3100 IVY TECH DR, VALPARAISO, IN 46383-8446
(219) 464-8514
Taxonomy
Speciality
Code
Description
License number
State
163WC1600X
Continuing Education/Staff Development Registered Nurse
Primary
28186830A
IN
163WH1000X
Hospice Registered Nurse
28186830A
IN
163WM0705X
Medical-Surgical Registered Nurse
28186830A
IN
Other
Enumeration date
10/04/2023
Last updated
10/04/2023
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