IndividualActive
Angela Gray
NPI 1760031926 · Psychiatric/Mental Health Registered Nurse · Portage, WI
Provider details
- NPI number
- 1760031926
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 247966-30 (WI)
Specialties & taxonomies
Nursing Service Providers
Nursing Service Providers
Practice location
322 Dewitt St
Portage, WI 53901-2114
Phone: (608) 280-2700
Approximate (ZIP-level) locationGet directions
Mailing address
25 Kessel Ct Ste 105
Madison, WI 53711-6227
Registry dates
- Enumerated
- 2019-09-10
- Last updated
- 2019-09-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.