Individual
MISTY GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 AIRPORT RD, WAUKESHA, WI 53188-2461
(262) 970-6653
(262) 896-8180
Mailing address
1501 AIRPORT RD, WAUKESHA, WI 53188-2461
(262) 970-6653
(262) 896-8180
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
252751
WI
Other
Enumeration date
05/30/2023
Last updated
05/30/2023
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