Grace Edith Line

Driver · Superior, WI

Individual Active NPI

NPI number 1790318186

Practice location

4125 E Itasca St
Superior, WI 54880-4239
Phone
(218) 481-5357

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NPI record

NPI
1790318186
Entity type
Individual (Type 1)
Enumeration date
February 13, 2020
Last updated
August 24, 2026
Certified
August 24, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Driver Primary 172A00000X L500-3056-2668-05 WI

About Grace Line

Grace Edith Line is a healthcare provider registered in the NPI registry with the primary taxonomy Driver (code 172A00000X). The practice location is 4125 E Itasca St, Superior, WI 54880-4239. The NPI number 1790318186 was assigned on February 13, 2020 and the record was last updated on August 24, 2026.

Grace Line lists a license in the registry: #L500-3056-2668-05 (WI) for Driver. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Grace Edith Line?

The NPI number is 1790318186.

What is the phone number of Grace Line?

The phone number listed for the practice location is (218) 481-5357.

Where is Grace Line located?

4125 E Itasca St, Superior, WI 54880-4239.

What is the taxonomy code for Grace Line?

The primary taxonomy code is 172A00000X – Driver.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.