Individual
TERESA RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
5261 CARROLLTON PIKE, WOODLAWN, VA 24381-3034
(276) 601-6197
(276) 601-6156
Mailing address
5261 CARROLLTON PIKE, WOODLAWN, VA 24381-3034
(276) 601-6197
(276) 601-6156
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
0024174194
VA
Other
Enumeration date
02/27/2017
Last updated
02/27/2017
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