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Individual

MRS. BETHANY GAYLE WRAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1731 CONNELLY SPRINGS RD, LENOIR, NC 28645-7827
(828) 757-6300
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
235480
NC
363LF0000X
Family Nurse Practitioner
Primary
5006973
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1144636481
NC
01
189TZ
BCBSNC
NC
Enumeration date
07/08/2014
Last updated
05/20/2024
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