Individual
MS. KYLA CAMILLE GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C, PMHNP-C
Contact information
Practice address
15422 N 172ND LN, SURPRISE, AZ 85388-0238
(708) 915-9072
Mailing address
15422 N 172ND LN, SURPRISE, AZ 85388-0238
(708) 915-9072
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN230797
AZ
163WW0101X
Ambulatory Women's Health Care Registered Nurse
RN230797
AZ
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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