Individual
MS. TYRONDA T GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-1400
(414) 955-0197
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-1400
(414) 955-0197
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
002862
GA
363LF0000X
Family Nurse Practitioner
10243
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093320459
—
WI
Enumeration date
09/12/2020
Last updated
11/04/2024
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