Individual
ELIZABETH GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
540 LINCOLN PARK BLVD STE 200, KETTERING, OH 45429-6403
(937) 298-8058
Mailing address
654 TEALWOOD DR, BEAVERCREEK, OH 45430-1623
(413) 531-0306
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.0028780
OH
Other
Enumeration date
07/22/2021
Last updated
10/28/2021
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