Individual provider · Type 1 NPI
Kimberly Gray, FNP-BC
Family Nurse Practitioner · Greenfield, WI
NPI number
1013689686
Active
Practice location
4111 S 108th St
Greenfield, WI 53228-1905
Mailing address
30815 Royal Hill Rd
Burlington, WI 53105-7762
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Family Nurse Practitioner Primary | 363LF0000X | 11507-33 (WI) |
Family Nurse Practitioner: Definition to come...
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About NPI 1013689686
Kimberly Gray, FNP-BC's National Provider Identifier is 1013689686, issued on Oct 1, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Greenfield, WI. The record was last updated on Oct 29, 2021.