Individual
MCKINLEY E GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(315) 576-3426
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2621
(315) 576-3426
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2320148
MA
363L00000X
Nurse Practitioner
Primary
RN2320148
MA
363LF0000X
Family Nurse Practitioner
RN2320148
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN2320148
REGISTERED NURSE
MA
Enumeration date
10/25/2018
Last updated
02/21/2024
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