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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. GRACE JEPCHIRCHIR FIDALGO, RN

Active Sole Proprietor

MRS. GRACE JEPCHIRCHIR FIDALGO, RN is a Foster Care Agency healthcare provider located in COTTAGE GROVE, Minnesota. NPI 1730722745 is currently active in the NPPES registry. Verify at CMS.

Foster Care Agency · COTTAGE GROVE, MN

Registration Details

NPI Number
1730722745
Provider Type
Individual
Gender
Female
NPI Issued
Oct 22, 2019 (6.837067752416 yrs)
Last Updated
Apr 12, 2022
Licenses
2441890 (MN)
1099897 (MN)
Sole Proprietor
Yes

Practice Information

Address
6222 HEDGECROFT AVE S
COTTAGE GROVE, MN, 550166002
Browse MN providers · Browse ZIP 55016
Phone
6128598250
Fax
6513305351
Primary Specialty
Foster Care Agency
253J00000X
Additional Specialty
Home Health Aide
Additional Specialty
Foster Care Agency

Other Foster Care Agency Providers in COTTAGE GROVE, MN

Name Credential NPI
ZEMZEM M TENA 1255170379
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.