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

Miriam Amy Grady

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104636679

Miriam Amy Grady is a Student in an Organized Health Care Education/Training Program in South Bend, Indiana. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

841 Sorin St Apt 2H
South Bend, IN 46617-2066
Phone: (402) 216-9739
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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 number1104636679
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 8, 2025
Last updated in NPPESJanuary 8, 2025
Certification dateJanuary 8, 2025
Mailing address841 Sorin St Apt 2h, South Bend, IN 46617-2066

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