Individual
MISTEY RAYL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
1250 E MICHIGAN AVE, GRAYLING, MI 49738-7074
(989) 348-0550
(989) 348-0473
Mailing address
3808 W JONES LAKE RD, GRAYLING, MI 49738-8606
(989) 390-0099
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704231346
MI
363L00000X
Nurse Practitioner
Primary
4704231346
MI
Other
Enumeration date
04/09/2018
Last updated
08/22/2019
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