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Individual

ROBERTA GRAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
240 LUCY DR, HARRISONBURG, VA 22801-8036
(540) 438-1314
(540) 438-0797
Mailing address
PO BOX 388, FISHERSVILLE, VA 22939-0388
(540) 438-1314
(540) 438-0797

Taxonomy

Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
0024172520
VA
367A00000X
Advanced Practice Midwife
Primary
0024172520
VA
367A00000X
Advanced Practice Midwife
ME00024500
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
C06068
VA
Enumeration date
01/20/2006
Last updated
07/13/2023
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