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NPI Code Detail

MEDICARE: MARY E GRAY FNP

MEDICARE: MARY E GRAY FNP
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
1363LF0000XFamily Nurse PractitionerRN014083MT

General Provider Information

NPI Number : 1184625055
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY E GRAY FNP
Provider Business Mailing Address
First Line : 1401 25TH ST S
Second Line :
City : GREAT FALLS
State : MT
Zip : 59405-5183
Country : US
Telephone Number : 406-731-8888
Fax Number : 406-731-8876
Provider Business Practice Location Address
First Line : 1401 25TH ST S
Second Line :
City : GREAT FALLS
State : MT
Zip : 59405-5183
Country : US
Telephone Number : 406-731-8888
Fax Number : 406-731-8876
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2005
Last Update Date : 04/08/2024

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Directions to “ MARY E GRAY FNP” Practice Location

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