Gray-Winfrey, Wylea Marie
Gray-Winfrey, Wylea Marie is an individual health care provider with primary practice located at 1217 Willow Glen River Rd , Alexandria LA 71302-5454. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gray-Winfrey, Wylea Marie can be contacted via phone (318) 487-4400.Contact Information
Primary practice address
1217 Willow Glen River Rd
Alexandria LA 71302-5454
Phone: (318) 487-4400
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | PA020344 | Louisiana |
Profile Details
NPI number | 1043425796 |
---|---|
LBN Legal business name | Gray-Winfrey, Wylea Marie |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 14th, 2007 |
Last updated | Jul 8th, 2007 - about 18 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 | 1043425796 | NPPES |
Louisiana | MEDICAID | 1112585 | |
Louisiana | Other | AP03533 |
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