Individual
MRS. DIANNE ELAINE GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
127 N JUNIPER ST, OMAK, WA 98841-9337
(509) 422-6593
(509) 422-0907
Mailing address
127 N JUNIPER ST, OMAK, WA 98841-9337
(509) 422-6593
(509) 422-0907
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
AP30004405
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7103203
—
WA
Enumeration date
02/28/2007
Last updated
07/08/2007
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