Individual provider · Type 1 NPI

Grace Ruth Fassina

Student in an Organized Health Care Education/Training Program · Stanford, CA

NPI number 1801514609 Active

Practice location

300 Pasteur Dr # H3591
Stanford, CA 94305-2200

Call (715) 307-0064 Map

Mailing address

3101 Dudley Dr
Edmond, OK 73012-4395

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1801514609

Grace Ruth Fassina's National Provider Identifier is 1801514609, issued on Aug 17, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Stanford, CA. The record was last updated on Mar 23, 2026.