Individual
MARY ZANCO-GRAYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8000 MADISON BLVD # D102-141, MADISON, AL 35758-2031
(256) 258-8412
Mailing address
8000 MADISON BLVD # D102-141, MADISON, AL 35758-2031
(256) 258-8412
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R103620
AR
363LA2200X
Adult Health Nurse Practitioner
Primary
1-197836
AL
Other
Enumeration date
11/28/2020
Last updated
01/17/2024
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