Individual
MEGAN MARY RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
2555 N MARTIN LUTHER KING DR, MILWAUKEE HEALTH SERVICES, INC., MILWAUKEE, WI 53212-2709
(414) 372-8080
(414) 562-8078
Mailing address
2555 N MARTIN LUTHER KING DR, MILWAUKEE HEALTH SERVICES,, MILWAUKEE, WI 53212-2709
(414) 372-8080
(414) 562-8078
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
6480
WI
363LP0200X
Pediatric Nurse Practitioner
Primary
6480-33
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
6480
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669843876
—
WI
Enumeration date
10/14/2015
Last updated
10/10/2016
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