IndividualActive
Grace Fidalgo, RN
NPI 1730722745 · Foster Care Agency · Cottage Grove, MN
Provider details
- NPI number
- 1730722745
- Entity type
- Individual
- Primary specialty
- Foster Care AgencyAgencies
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2441890 (MN)
Specialties & taxonomies
Agencies
Nursing Service Providers
- Home Health Aide374U00000X
Nursing Service Related Providers
Practice location
6222 Hedgecroft Ave S
Cottage Grove, MN 55016-6002
Phone: (612) 859-8250
Fax: (651) 330-5351
Approximate (ZIP-level) locationGet directions
Mailing address
6222 Hedgecroft Ave S
Cottage Grove, MN 55016-6002
Registry dates
- Enumerated
- 2019-10-22
- Last updated
- 2022-04-12
- Certified
- 2022-04-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.