MRS. MARY HELEN GRAY R.N. N.P NPI 1487692448

NPI Information

NPI: 1487692448
Provider Name: MRS. MARY HELEN GRAY, R.N., N.P
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Organization: VILLAGEHEALTH DM LLC

PECOS Registration: Yes

Address:
5775 WAYZAYA BLVD
SUITE 190
ST. LOUIS PARK, MN
ZIP 55416
Phone: (952) 738-4623
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MRS. Mary Helen Gray, R.N., N.P is an adult health nurse practitioner in St. Louis Park, MN with 18 years of experience. MRS. Mary Helen Gray, R.N., N.P NPI is 1487692448. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5775 WAYZAYA BLVD
SUITE 190
ST. LOUIS PARK, MN
ZIP 55416
Phone: (952) 738-4623

The NPI 1487692448 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/3/2006 and was last updated on 8/16/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		R 149240 0	MINNESOTA	No
2	363LA2200X	Nurse Practitioner	Adult Health	2006005436	MINNESOTA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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