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

MS. Stephanie Grady, PANP

Individual provider Family Medicine Physician · NPI 1003876814

MS. Stephanie Grady, PANP is a Family Medicine Physician in Minneapolis, Minnesota. Works from 2 locations. Licensed in Minnesota.

Licensed in
MN
In the registry since
2006

Practice location Address checks out

410 Church St SE
Minneapolis, MN 55455-0222
Phone: (612) 625-2612
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 43500 Migizi Dr, Onamia, MN 56359-2241 — (320) 532-4163

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 9028 (MN)

Record details

NPI number1003876814
Entity typeIndividual (Type 1)
GenderFemale
Credentials PANP
Sole proprietorNo
NPI enumeratedMarch 24, 2006
Last updated in NPPESJuly 21, 2022

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