Individual provider · Type 1 NPI
Samantha Jane Grady
Critical Care Medicine Registered Nurse · Ontario, CA
NPI number
1346103512
Active
Practice location
2295 S Vineyard Ave
Ontario, CA 91761-7925
Mailing address
1310 Woodvale Dr
Corona, CA 92879-8845
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Medicine Registered Nurse Primary | 163WC0200X | 95232677 (CA) |
Critical Care Medicine Registered Nurse: Definition to come...
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About NPI 1346103512
Samantha Jane Grady's National Provider Identifier is 1346103512, issued on Dec 4, 2025. The primary taxonomy on file is Critical Care Medicine Registered Nurse (163WC0200X), and the practice location is in Ontario, CA. The record was last updated on Dec 4, 2025.