Gray-Winfrey, Wylea Marie

Gray-Winfrey, Wylea Marie is an individual health care provider with primary practice located at 1217 Willow Glen River Rd , Alexandria LA 71302-5454. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gray-Winfrey, Wylea Marie can be contacted via phone (318) 487-4400.

Contact Information

Primary practice address
1217 Willow Glen River Rd Alexandria LA 71302-5454
Phone: (318) 487-4400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X PA020344 Louisiana

Profile Details

NPI number 1043425796
LBN Legal business name Gray-Winfrey, Wylea Marie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043425796 NPPES
Louisiana MEDICAID 1112585
Louisiana Other AP03533

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