GRACE EDITH LINE
NPI 1790318186
Driver in Andover, MN

Active since February 13, 2020
2934 168TH LN NW, ANDOVER, MN 55304(218) 481-5357 Get Directions Write a Review

NPPES record last updated: February 13, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Grace Edith Line NPPES

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

GRACE EDITH LINE (NPI 1790318186) is an individual driver provider in Andover, Minnesota, licensed in Minnesota (B772-020-465-216) and active in the NPI registry since February 2020. She maintains a secondary practice location in Duluth.

NPPES Registry Identity

NPI1790318186
Entity TypeIndividualFemale
Primary Taxonomy172A00000X
Provider Legal NameGRACE EDITH LINE
Location Address2934 168TH LN NWAndover, MN 55304-1928
Mailing AddressPo Box 15192Duluth, MN 55815-0192 · (218) 481-5357
Sole ProprietorNo
Enumeration DateFebruary 13, 2020
NPI 1790318186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDriverOther Service Providers
Taxonomy Code172A00000X
License Licensed in MN · B772-020-465-216
Definition

A person employed to operate a motor vehicle as a carrier of persons or property.

2934 168TH LN NW, Andover, MN 55304

Secondary Practice Location 1

Location 16588 Fredenberg Lake RdDuluth, MN 55803-9468 · Phone (218) 481-5357

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790318186, enumerated as an "individual" on February 13, 2020.

The provider is located at 2934 168TH LN NW ANDOVER, MN 55304 and the phone number is (218) 481-5357.

Driver with taxonomy code 172A00000X.