Individual provider · Type 1 NPI

Nicole Grady, PA, ATC

Surgical Physician Assistant · Biddeford, ME

NPI number 1356843940 Active

Practice location

46 Barra Rd Ste 103
Biddeford, ME 04005-9461

Fax (207) 294-3544

Other practice locations

  • 11 Hills Beach Rd, Biddeford, ME 04005-9526 · (207) 283-0171
  • 25A June St Ste 16, Sanford, ME 04073-2615 · (207) 324-1488

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XAT805 (ME)
Physician Assistant 363A00000XPA2817 (ME)
Surgical Physician Assistant Primary 363AS0400XPA2817 (ME)

Surgical Physician Assistant: Definition to come...

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About NPI 1356843940

Nicole Grady, PA, ATC's National Provider Identifier is 1356843940, issued on Feb 28, 2018. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Biddeford, ME. The record was last updated on Mar 5, 2025.