Individual
MISS BIANCA RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
146 W US HIGHWAY 30, SCHERERVILLE, IN 46375-1852
(219) 301-6601
Mailing address
829 E 194TH ST UNIT 2E, GLENWOOD, IL 60425-2153
(708) 870-8562
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041397280
IL
363LF0000X
Family Nurse Practitioner
209017003
IL
363LF0000X
Family Nurse Practitioner
Primary
71014529A
IN
Other
Enumeration date
01/05/2020
Last updated
05/01/2026
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