Individual provider · Type 1 NPI

Grace Linda Mimmack Ohnstad

Critical Care Medicine Registered Nurse · Orlando, FL

NPI number 1740170067 Active

Practice location

1405 S Orange Ave Ste 500
Orlando, FL 32806-2153

Call (305) 899-3230 Map

Mailing address

2175 Judge Fran Jamieson Way Apt 307
Melbourne, FL 32940-6177

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine Registered Nurse Primary 163WC0200XRN9635023 (FL)

Critical Care Medicine Registered Nurse: Definition to come...

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About NPI 1740170067

Grace Linda Mimmack Ohnstad's National Provider Identifier is 1740170067, issued on Jul 8, 2025. The primary taxonomy on file is Critical Care Medicine Registered Nurse (163WC0200X), and the practice location is in Orlando, FL. The record was last updated on Jul 8, 2025.