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NPI Code Detail

MEDICARE: STEPHANIE B GRAY DNP, ARNP

MEDICARE: STEPHANIE B GRAY DNP, ARNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2200XAdult Health Nurse PractitionerH-117587IA

General Provider Information

NPI Number : 1154659407
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE B GRAY DNP, ARNP
Provider Business Mailing Address
First Line : 1731 BOYSON RD
Second Line :
City : HIAWATHA
State : IA
Zip : 52233-2313
Country : US
Telephone Number : 319-363-0033
Fax Number : 319-363-4411
Provider Business Practice Location Address
First Line : 1731 BOYSON RD
Second Line :
City : HIAWATHA
State : IA
Zip : 52233-2313
Country : US
Telephone Number : 319-363-0033
Fax Number : 319-363-4411
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/25/2009
Last Update Date : 12/10/2025

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