Rebecca Lynne Gray in Wyoming - Nurse Practitioner

Rebecca Lynne Gray - NPI 1962448969

Rebecca Lynne Gray is a Nurse Practitioner in Wyoming, Minnesota. Rebecca Lynne Gray practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Rebecca Lynne Gray is 1962448969. The last update date is 2019-03-08.

Rebecca Lynne Gray's current location address is 5200 Fairview Blvd, Wyoming, Minnesota. You can contact this provider via phone number 6519827600. The mailing address for Rebecca Lynne Gray is 5200 Fairview Blvd, Wyoming, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Rebecca Lynne Gray
Address 5200 Fairview Blvd, Wyoming, Minnesota
Phone Number 6519827600
Fax Number
Sole Proprietor N
Credentials APNP

NPI Number Detail

NPI Number 1962448969
Provider Enumeration Date 2006-06-20
Last Updated Date 2019-03-08

Provider Mailing Address Detail

Address 5200 Fairview Blvd
City Wyoming
State Minnesota (MN)
Post Code 550928013
Phone Number 6519827600
Fax Number

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No 2615-33
Definition:
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2615 WI STATE MEDICAL LICENSE
38168 MT STATE MEDICAL LICENSE
106194 WI STATE MEDICAL LICENSE
41265200 WI --
R118279-4 MN STATE MEDICAL LICENSE

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FAQs about Rebecca Lynne Gray

What is the Rebecca Lynne Gray's 1962448969?

The Rebecca Lynne Gray's NPI (National Provider Identifier) Number is 1962448969. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Rebecca Lynne Gray is located?

The Rebecca Lynne Gray is situated at the following address: 5200 Fairview Blvd, Wyoming, MN, 550928013.

What is Rebecca Lynne Gray's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Rebecca Lynne Gray is Nurse Practitioner, and the taxonomy classification code that categorizes this area of expertise is 363L00000X.

When did Rebecca Lynne Gray receive its 1962448969 assignment?

The Rebecca Lynne Gray was assigned its 1962448969 on 2006-06-20, which is the date when this unique identifier was issued to the organization.

As of what date was the information pertaining to Rebecca Lynne Gray, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Rebecca Lynne Gray, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2019-03-08.

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