Gray, Cynthia K.

Gray, Cynthia K. is an individual health care provider with primary practice located at 201 Healthcare Dr , Greenville IL 62246-1155. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Gray, Cynthia K. can be contacted via phone (618) 664-1380.

Contact Information

Primary practice address
201 Healthcare Dr Greenville IL 62246-1155
Phone: (618) 664-1380
Fax: (618) 664-4239
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209001772 Illinois

Profile Details

NPI number 1104879535
LBN Legal business name Gray, Cynthia K.
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Dec 23rd, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1104879535 NPPES
Illinois MEDICAID 036083073

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