GRACE MODINA

SAINT PAUL, MN
NPI1437987062
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MN  11828)
Enumeration Date2024-07-24
Last Update Date2024-07-24
Business Address
GRACE MODINA DNP, CNP, PMHNP-BC
1600 UNIVERSITY AVE W STE 12
SAINT PAUL, MN 55104-3952
Phone number: 651-379-5157
Mailing Address
GRACE MODINA DNP, CNP, PMHNP-BC
1600 UNIVERSITY AVE W STE 12
SAINT PAUL, MN 55104-3952
Phone number: 651-379-5157