MYRANDA GRACE

Licensed Practical Nurse

Active Individual
NPI: 1528924214

Practice Address

3800 AUGUSTINE PL
Rex, GA 30273

Phone: (813) 727-9377

Specialties

Specialty Code Primary License
Licensed Practical Nurse 164W00000X Yes LPN105798 (GA)

Frequently Asked Questions

NPI 1528924214 is the National Provider Identifier for MYRANDA GRACE, a Licensed Practical Nurse provider located in Rex, GA. This NPI was enumerated on December 26, 2025.
MYRANDA GRACE practices at 3800 AUGUSTINE PL, Rex, GA 30273.

Quick Facts

NPI
1528924214
Type
Individual
Enumerated
Dec 26, 2025
Last Updated
Dec 26, 2025

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