Individual provider · Type 1 NPI
Ilya Melina Ray, F.N.P.
Psychiatric/Mental Health Nurse Practitioner · Trevor, WI
NPI number
1447639737
Active
Practice location
12530 249th Cir
Trevor, WI 53179-9135
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 6368 (WI) |
| Family Nurse Practitioner | 363LF0000X | 6368-33 (WI) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
About NPI 1447639737
Ilya Melina Ray, F.N.P.'s National Provider Identifier is 1447639737, issued on May 20, 2015. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Trevor, WI. The record was last updated on Nov 30, 2020.