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Individual
KRISTA M GRAY
Active
Individual
KRISTA M GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP007924
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1559198
GATEWAY
PA
01
—
1599241
FREEDOM BLUE
PA
01
—
50063716
CAPITAL BLUE CROSS
PA
Enumeration date
08/01/2006
Last updated
05/27/2015
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