Provider Demographics
NPI:1265410666
Name:KRAY, MARGRETTA (RN, CNP)
Entity type:Individual
Prefix:MRS
First Name:MARGRETTA
Middle Name:
Last Name:KRAY
Suffix:
Gender:F
Credentials:RN, CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1550 HIGHWAY 71 NE
Mailing Address - Street 2:
Mailing Address - City:WILLMAR
Mailing Address - State:MN
Mailing Address - Zip Code:56201-9504
Mailing Address - Country:US
Mailing Address - Phone:320-231-5100
Mailing Address - Fax:320-231-5329
Practice Address - Street 1:1550 HIGHWAY 71 NE
Practice Address - Street 2:
Practice Address - City:WILLMAR
Practice Address - State:MN
Practice Address - Zip Code:56201-9504
Practice Address - Country:US
Practice Address - Phone:320-231-5100
Practice Address - Fax:320-231-5329
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR-059968-9363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN06F63KROtherBC/BS MPIN
MNS82504Medicare UPIN