ANGELA MARIE GRAY - NPI 1760031926 - Registered Nurse in Portage, WI

Q: What is Angela Gray's NPI number?

The NPI number for Angela Gray is 1760031926. It was assigned to this individual provider in the NPPES registry on September 10, 2019.

Q: What is Angela Gray's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, with taxonomy code 163WP0808X.

Q: When was this NPI record last updated?

The NPPES record for Angela Gray was last updated on September 10, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Angela Marie Gray NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGELA MARIE GRAY (NPI 1760031926) is an individual psychiatric/mental health provider in Portage, Wisconsin, licensed in Wisconsin (247966-30) and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1760031926

Entity TypeIndividualFemale

Primary Taxonomy163WP0808X

Provider Legal NameANGELA MARIE GRAY

Location Address322 DEWITT STPortage, WI 53901-2114

Mailing Address25 Kessel Ct Ste 105Madison, WI 53711-6227 · (608) 280-2700

Phone(608) 280-2700

Sole ProprietorNo

Enumeration DateSeptember 10, 2019

✔ NPI 1760031926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental HealthNursing Service Providers

Taxonomy Code163WP0808X

License✔ Licensed in WI · 247966-30

Also ListedRegistered Nurse · Addiction (Substance Use Disorder)Taxonomy 163WA0400X · License 247966-30 (WI)

322 DEWITT ST, Portage, WI 53901

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Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMILY W. LANKAU MSSW

Case Manager/Care Coordinator