MS. TYRONDA T GRAY


Address: 5833 N 117th St, Milwaukee, WI 53225-2207
Phone: 4147459144

MS. TYRONDA T GRAY (NPI# 1093320459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093320459
Entity Type Individual
Full Name MS. TYRONDA T GRAY
Credential APNP
Practice Address 5833 N 117th St
Milwaukee
WI 53225-2207
Practice Telephone 4147459144
Mailing Telephone 4147459144
Enumeration Date 2020-09-12
Last Update Date 2020-09-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
10243 WI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 5833 N 117TH ST
City MILWAUKEE
State WI
Zip Code 53225-2207

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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1871066506 Lisa Ann Parker Nurse Practitioner 3237 S 16th St # 208, Milwaukee, WI 53215-4526 2019-01-04
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1871074385 Mary Teresa Falk Nurse Practitioner 2350 N Lake Dr Ste 306, Milwaukee, WI 53211-4528 2018-08-23
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Competitor

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City MILWAUKEE
Zip Code 53225

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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