Individual provider · Type 1 NPI

Mary Teresa Grace, CPNP

Pediatric Nurse Practitioner · Baltimore, MD

NPI number 1942556220 Active

Practice location

3449 Wilkens Ave Ste 308
Baltimore, MD 21229-5218

Call (410) 646-1200 Map

Fax (410) 646-1211

Mailing address

1119 Vineyard Hill Rd
Catonsville, MD 21228-5377

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XR066268 (MD)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1942556220

Mary Teresa Grace, CPNP's National Provider Identifier is 1942556220, issued on Jul 24, 2012. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Baltimore, MD. The record was last updated on Oct 8, 2026.