Individual
ANDREW MICHAEL RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC
Contact information
Practice address
2131 S 17TH ST, WILMINGTON, NC 28401-7407
(910) 667-2606
(910) 815-5698
Mailing address
PO BOX 936857, ATLANTA, GA 31193-6857
(910) 667-7260
(910) 815-5698
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5019050
NC
363LA2100X
Acute Care Nurse Practitioner
5019050
NC
363LA2200X
Adult Health Nurse Practitioner
5019050
NC
363LG0600X
Gerontology Nurse Practitioner
5019050
NC
Other
Enumeration date
09/27/2023
Last updated
05/28/2024
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