IndividualActive
Grace Forlines
NPI 1053188193 · Technician · Grand Rapids, MI
Provider details
- NPI number
- 1053188193
- Entity type
- Individual
- Primary specialty
- TechnicianNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Nursing Service Related Providers
Practice location
440 Baltimore Dr Ne
Grand Rapids, MI 49503-3934
Phone: (616) 454-4777
Approximate (ZIP-level) locationGet directions
Mailing address
440 Baltimore Dr Ne
Grand Rapids, MI 49503-3934
Registry dates
- Enumerated
- 2023-12-08
- Last updated
- 2023-12-08
- Certified
- 2023-12-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.