Organization
BELMONT FAMILY PRACTICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA MARIE GRAY CRNP (PRESIDENT)
(443) 978-7317
Entity
Organization
Contact information
Practice address
1346 BELMONT AVE STE 602, SALISBURY, MD 21804-4589
(443) 978-7317
(443) 736-4080
Mailing address
1346 BELMONT AVE STE 602, SALISBURY, MD 21804-4589
(443) 978-7317
(443) 736-4080
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/15/2020
Last updated
12/15/2020
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