Individual provider · Type 1 NPI
Lenise Mae Grayson, BSN, RN
General Practice Registered Nurse · Gallup, NM
NPI number
1568094035
Active
Practice location
516 E Nizhoni Blvd
Gallup, NM 87301-5748
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | 904759 (MS) |
General Practice Registered Nurse: Definition to come...
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About NPI 1568094035
Lenise Mae Grayson, BSN, RN's National Provider Identifier is 1568094035, issued on Feb 12, 2020. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Gallup, NM. The record was last updated on Feb 12, 2020.