Individual
MS. MARY ANN GRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
634 EDDY AVE, MISSOULA, MT 59812-1851
(406) 243-2122
Mailing address
249 STRAND AVE, MISSOULA, MT 59801-5716
(406) 728-9411
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
15113
MT
163WC1400X
College Health Registered Nurse
15113
MT
Other
Enumeration date
04/18/2007
Last updated
09/11/2025
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