Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1790318186 Individual Practitioner Female Practitioner

Grace Edith Line

Driver • Andover, MN

Professional Overview & Biography Verified Profile Summary

Grace Line is a registered healthcare professional specializing in Driver in Andover, MN. Practice services are available at 2934 168TH LN NW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2934 168th Ln Nw

Andover, MN 553041928

Telephone 2184815357

Specialty Benchmarks & Practice Insights

Comparative analytics for Driver in Andover, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Andover, MN (239 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-02-13
Driver Primary Specialty

NUCC Taxonomy Code: 172A00000X

State License MN B772-020-465-216

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

Secondary Practice Locations

6588 Fredenberg Lake Rd

Duluth, MN 558039468

Phone: 2184815357

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 13, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location February 13, 2020

Registered at 2934 168TH LN NW, ANDOVER, MN 553041928 (Tel: 2184815357)

📍
Updated Business Mailing Address February 13, 2020

Registered at PO BOX 15192, DULUTH, MN 558150192 (Tel: 2184815357)

👤
Provider Name / Credentials Updated February 13, 2020

Recorded as GRACE LINE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 13, 2020

Driver (License #B772-020-465-216 in MN)

🟢
Initial NPI Registration & Enumeration February 13, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790318186
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 13, 2020
Last Update: February 13, 2020
Sole Proprietor: No

Mailing Address

Po Box 15192

Duluth, MN 558150192

Phone: 2184815357

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.