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Individual

HOLLIE GRAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
2900 1ST AVE STE 10, HUNTINGTON, WV 25702-1241
(304) 525-6825
Mailing address
3075 US ROUTE 60, HUNTINGTON, WV 25705-8859
(304) 528-4600

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
88141
WV
363L00000X
Nurse Practitioner
3018294
KY
363LF0000X
Family Nurse Practitioner
Primary
105024
WV
363LF0000X
Family Nurse Practitioner
3018294
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1073153912
WV
05
30017496130001
VA
05
7100848850
KY
Enumeration date
01/08/2020
Last updated
06/21/2025
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