Individual
MRS. CYNTHIA K. GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
201 HEALTHCARE DR, GREENVILLE, IL 62246-1155
(618) 664-1380
(618) 664-4239
Mailing address
201 HEALTHCARE DR, GREENVILLE, IL 62246-1155
(618) 664-1380
(618) 664-4239
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209001772
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036083073
—
IL
Enumeration date
05/18/2006
Last updated
12/23/2021
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