| Lorene Ann Gray, RN, MSN, CNP | |
|
6465 W Shadow Lake Dr, Lino Lakes, MN 55014-1982 | |
| (651) 492-3387 | |
| Not Available |
| Full Name | Lorene Ann Gray |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Gerontology |
| Location | 6465 W Shadow Lake Dr, Lino Lakes, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548577224 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | 3634 (Minnesota) | Primary |
| Entity Name | Fairview Clinics |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346432218 PECOS PAC ID: 7113830142 Enrollment ID: O20031106000516 |
| Mailing Address | Practice Location Address |
|---|---|
| Lorene Ann Gray, RN, MSN, CNP 6465 W Shadow Lake Dr, Lino Lakes, MN 55014-1982 Ph: (651) 492-3387 | Lorene Ann Gray, RN, MSN, CNP 6465 W Shadow Lake Dr, Lino Lakes, MN 55014-1982 Ph: (651) 492-3387 |
Jessica Mcalpine, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 576 Apollo Dr, Lino Lakes, MN 55014 Phone: 651-486-2320 | |
Mrs. Kristin Rose Phair, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6602 Lacasse Dr, Lino Lakes, MN 55038 Phone: 612-306-8555 | |
Kaylan Rae Dix, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 576 Apollo Dr, Lino Lakes, MN 55014 Phone: 651-486-2320 | |
Sara L Robinson, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 576 Apollo Dr, Lino Lakes, MN 55014 Phone: 651-486-2320 Fax: 651-486-2321 |