Doctor Name: | PATRICIA LYNN GRAY |
NPI Number: | 1023126257 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N.C., W.H.N.P. |
License Number: | 4704178704 |
Business Practice Address: | Lenawee County Health Department 1040 South Winter Suite 2328 Adrian, MI - 49221 |
Business Phone Number: | 5172645233 |
Business Fax Number: | 5172667804 |
Mailing Address: | 435 Dennis Street, ADRIAN |
State: | MI |
Postal Code: | 492213331 |
Phone Number: | 5174428030 |
Fax Number: | 5172667804 |
NPI Enumeration Date: | 08/28/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | 4704178704 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |