IndividualActive
Mary Gray, R.N., N.P
NPI 1487692448 · Adult Health Nurse Practitioner · St. Louis Park, MN
Provider details
- NPI number
- 1487692448
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- R.N., N.P
- Sex
- Female
- Sole proprietor
- No
- License
- R 149240 0 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Practice location
5775 Wayzaya Blvd
Suite 190
St. Louis Park, MN 55416
Phone: (952) 738-4623
Approximate (ZIP-level) locationGet directions
Mailing address
5775 Wayzata Blvd Ste 190
St Louis Park, MN 55416-2627
Additional practice locations (1)
- 920 E 28th St Ste 300Minneapolis, MN 55407-1195Phone: (952) 944-3472
Registry dates
- Enumerated
- 2006-06-03
- Last updated
- 2018-08-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.