Healthcare Provider Details

I. General information

NPI: 1184324584
Provider Name (Legal Business Name): GRACE P HARDING BSN,RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/06/2023
Last Update Date: 09/29/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 W 8TH AVE
SPOKANE WA
99204-2307
US

IV. Provider business mailing address

407 MORREENE RD
DURHAM NC
27705-2913
US

V. Phone/Fax

Practice location:
  • Phone: 303-881-1258
  • Fax:
Mailing address:
  • Phone: 303-881-1258
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number5681216
License Number StateID
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number320597
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: