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GRACEY MAE EDEN
NPI 1639634785
Student in an Organized Health Care Education/Training Program in Bangor, PA

Active since February 04, 2019
712 LAUREL HILL RD, BANGOR, PA 18013(520) 343-8221 Get Directions Write a Review

NPPES record last updated: February 4, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gracey Mae Eden NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRACEY MAE EDEN (NPI 1639634785) is an individual student in an organized health care education/training program in Bangor, Pennsylvania and active in the NPI registry since February 2019.

NPPES Registry Identity

NPI1639634785
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameGRACEY MAE EDEN
Location Address712 LAUREL HILL RDBangor, PA 18013-5564
Mailing Address712 Laurel Hill RdBangor, PA 18013-5564 · (520) 343-8221
Phone(520) 343-8221
Sole ProprietorYes
Enumeration DateFebruary 4, 2019
✔ NPI 1639634785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
712 LAUREL HILL RD, Bangor, PA 18013
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gracey Eden's NPI number?

The NPI number for Gracey Eden is 1639634785. It was assigned to this individual provider in the NPPES registry on February 4, 2019.

Where is Gracey Eden located?

Gracey Eden practices at 712 Laurel Hill Rd, Bangor, PA 18013. The listed phone number is (520) 343-8221.

What is Gracey Eden's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Gracey Eden was last updated on February 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.