National Provider Identifier
Missy Gray Dishman, NP
Missy Gray Dishman, NP is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner in Orchard Park, NY and a listed phone number of (716) 674-3104.
Profile Overview
- NPI
- 1598223984
- Provider Type
- Individual
- Primary Specialty
- Adult Health Nurse Practitioner
- Enumeration Date
- March 05, 2019
- Last Updated
- January 11, 2023
Practice Location
- 3041 Orchard Park RD Ste C
- Orchard Park, NY 14127-1238
Phone: (716) 674-3104
Mailing Address
- 3041 Orchard Park RD Ste C
- Att: Credentialing
- Orchard Park, NY 14127-1238
Specialties
- Adult Health Nurse Practitioner (363LA2200X)
Full Record
- NPI
- 1598223984
- Entity Type
- Individual
- Last Name
- Dishman
- First Name
- Missy
- Middle Name
- Gray
- Credential
- NP
- Mailing Street Address
- 3041 Orchard Park RD Ste C
- Mailing Address Line 2
- Att: Credentialing
- Mailing City
- Orchard Park
- Mailing State
- NY
- Mailing ZIP Code
- 14127-1238
- Mailing Country
- US
- Mailing Phone
- (716) 674-3104
- Mailing Fax
- (716) 674-0666
- Practice Street Address
- 3041 Orchard Park RD Ste C
- Practice City
- Orchard Park
- Practice State
- NY
- Practice ZIP Code
- 14127-1238
- Practice Country
- US
- Practice Phone
- (716) 674-3104
- Practice Fax
- (716) 674-0666
- Enumeration Date
- March 05, 2019
- Last Updated
- January 11, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- January 11, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Adult Health Nurse Practitioner (363LA2200X)
- Other Identifiers
- 05536787 (NY), 309096 (NY, Nys License)