Individual ProviderGrace A ShirleyNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address9900 Bren Rd E, Minnetonka, MN 55343-9664(407) 963-2919PECOS EnrollmentBased on the most recent information from CMS, provider Grace A Shirley does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 10 days ago.Profile DetailsProvider ID1770722670Provider TypeIndividualFull NameShirley, Grace ACredentialARNPGenderFemaleSole ProprietorYesEnumeration Date2/17/2009Last Updated6/23/2020Contact InformationPractice LocationPractice Address9900 Bren Rd E, Minnetonka, MN 55343-9664Phone(407) 963-2919FaxUnlisted FaxMailing LocationMailing AddressPO Box 1459, Minneapolis, MN 55440-1459PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseARNP 1666002Florida