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Shana Gray

NPI 1730009697 · on the registry since 2026 · sole proprietor

Practice

Address
1405 W Silver Spring Dr
Glendale, WI 53209
Phone
(262) 450-7901

Registry record

Primary taxonomy
174H00000X
174H00000X
Also registered as
101YM0800X
171400000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-07-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin