IndividualActive
Ian Gray, NNP-BC
NPI 1639741341 · Critical Care Neonatal Nurse Practitioner · Saint Louis, MO
Provider details
- NPI number
- 1639741341
- Entity type
- Individual
- Primary specialty
- Critical Care Neonatal Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NNP-BC
- Sex
- Male
- Sole proprietor
- No
- License
- 104874193 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1 Childrens Pl
Saint Louis, MO 63110-1002
Phone: (314) 454-6000
Approximate (ZIP-level) locationGet directions
Mailing address
1 Childrens Pl Fl 5
Saint Louis, MO 63110-1002
Registry dates
- Enumerated
- 2021-07-13
- Last updated
- 2022-05-16
- Certified
- 2022-05-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.