Gray, Angela Marie

Gray, Angela Marie is an individual health care provider with primary practice located at 322 Dewitt St , Portage WI 53901-2114. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Addiction (Substance Use Disorder), Nursing Service Providers / Psychiatric/Mental Health. Nursing Service Providers / Psychiatric/Mental Health is her primary health care specialty. Gray, Angela Marie can be contacted via phone (608) 280-2700.

Contact Information

Primary practice address
322 Dewitt St Portage WI 53901-2114
Phone: (608) 280-2700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Addiction (Substance Use Disorder) 163WA0400X 247966-30 Wisconsin
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 247966-30 Wisconsin

Profile Details

NPI number 1760031926
LBN Legal business name Gray, Angela Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 10th, 2019
Last updated Sep 10th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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