Individual
SASHA GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, CPNP-PC
Contact information
Practice address
20 DOC STONE RD, STAFFORD, VA 22556-4515
(540) 602-7766
Mailing address
9624 SANDY POINTE CIR APT 203, FREDERICKSBURG, VA 22408-7780
(631) 252-4772
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0024178835
VA
Other
Enumeration date
04/02/2020
Last updated
04/02/2020
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