Individual
MICHAELA GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6440 N 66TH ST, OMAHA, NE 68104-1138
(402) 709-8824
Mailing address
3604 SUMMIT PLAZA DR, BELLEVUE, NE 68123-1065
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
28331
NE
Other
Enumeration date
02/26/2025
Last updated
02/26/2025
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