Gray, Rebecca Lynne
Gray, Rebecca Lynne is an individual health care provider with primary practice located at 5200 Fairview Blvd , Wyoming MN 55092. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Gray, Rebecca Lynne can be contacted via phone (651) 982-7600.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 2615-33 | Wisconsin |
| Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | 2615 | Wisconsin |
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 303 | Minnesota |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 303 | Minnesota |
Profile Details
| NPI number | 1962448969 |
|---|---|
| LBN Legal business name | Gray, Rebecca Lynne |
| Credentials | APNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2006 |
| Last updated | Mar 8th, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962448969 | NPPES |
| Wisconsin | Other | 2615 | STATE MEDICAL LICENSE |
| Wisconsin | Other | 38168 | STATE MEDICAL LICENSE |
| Wisconsin | Other | 106194 | STATE MEDICAL LICENSE |
| Wisconsin | MEDICAID | 41265200 | STATE MEDICAL LICENSE |
| Wisconsin | Other | R118279-4 | STATE MEDICAL LICENSE |
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