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REBECCA L GRAY, CNP – NPI #1962448969
Family

NPI Profile for REBECCA L GRAY in WYOMING, MN.

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Contact Information

REBECCA L GRAY, CNP
5200 FAIRVIEW BLVD
WYOMING, MN  55092
 Phone: 651-982-7600
 Fax:
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Family

 363LF0000X 50 Nurse Practitioner
 

Advanced Practice Midwife

 367A00000X 42 Certified Nurse Midwife
 

Nurse Practitioner

 363L00000X 50 Nurse Practitioner
 

Women's Health

 363LW0102X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for REBECCA L GRAY · (Female)

NPI Number 1962448969
Status Active
Credentials CNP (Certified Nurse Practitioner)
Entity Individual
Enumeration date 06/20/2006
Last updated 02/18/2026 - About 4 months ago
Sole proprietor 1 No
Identifiers
  • MN License # 303
  • MN License # 4514
  • WI License # 2615
  • WI License # 2615-33
  • WI Medicaid 41265200
  • MN Other R118279-4 STATE MEDICAL LICENSE
  • MT Other 38168 STATE MEDICAL LICENSE
  • WI Other 106194 STATE MEDICAL LICENSE
  • WI Other 2615 STATE MEDICAL LICENSE
Hospital affiliation(s)
  • FAIRVIEW LAKES MEDICAL CENTER - (Acute Care)
    5200 FAIRVIEW BOULEVARD
    WYOMING, MN 55092
  • ST CROIX REG MED CTR - (Critical Access)
    235 STATE STREET
    SAINT CROIX FALLS, WI 54024
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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