Individual
DARIEN GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1001 RIVIAN MTWY, BLOOMINGTON, IL 61705-2501
(309) 828-0806
Mailing address
109 HIGHPOINT RD, NORMAL, IL 61761-2842
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.032721
IL
Other
Enumeration date
07/14/2025
Last updated
07/14/2025
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