Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANGELA MARIE GRAY
ActiveChild & Adolescent Psychiatric Nurse · PORTAGE, WI
Registration Details
- NPI Number
- 1760031926
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 10, 2019 (6.645946803466 yrs)
- Last Updated
- Sep 10, 2019
- Licenses
-
247966-30 (WI)247966-30 (WI)
Practice Information
- Address
-
322 DEWITT STPORTAGE, WI, 539012114Browse WI providers · Browse ZIP 53901
- Phone
- 6082802700
- Primary Specialty
-
Child & Adolescent Psychiatric Nurse
163WP0808X
- Additional Specialty
- Child & Adolescent Psychiatric Nurse
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.