Individual provider · Type 1 NPI
Tedra Duana Gray, N.P.
Acute Care Nurse Practitioner · Chicago, IL
NPI number
1659358760
Active
Practice location
1501 S California Ave
Chicago, IL 60608-1732
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 309-002757 (IL) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1659358760
Tedra Duana Gray, N.P.'s National Provider Identifier is 1659358760, issued on Dec 29, 2005. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Chicago, IL. The record was last updated on Apr 26, 2016.