Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gracey Mae Eden

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1639634785

Gracey Mae Eden is a Student in an Organized Health Care Education/Training Program in Bangor, Pennsylvania. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

712 Laurel Hill Rd
Bangor, PA 18013-5564
Phone: (520) 343-8221
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1639634785
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 4, 2019
Last updated in NPPESFebruary 4, 2019
Mailing address712 Laurel Hill Rd, Bangor, PA 18013-5564

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