Individual
DR. NANCY ELLEN GRAYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
25353 E 840 RD, KINGFISHER, OK 73750-5818
(918) 808-3306
(888) 504-7682
Mailing address
25353 E 840 RD, KINGFISHER, OK 73750-5818
(918) 808-3306
(888) 504-7682
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
17590
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1117590
—
OK
Enumeration date
11/10/2005
Last updated
03/30/2023
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