Individual
RONI S. GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4220 L ST, OMAHA, NE 68107
(402) 733-4433
(402) 733-1220
Mailing address
7261 MERCY RD, OMAHA, NE 68124-2311
(402) 733-4433
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
110805
NE
363LF0000X
Family Nurse Practitioner
Primary
110805
NE
Other
Enumeration date
02/16/2007
Last updated
08/05/2019
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