Individual
ALYSSA MARIE GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
6001 E BROAD ST, COLUMBUS, OH 43213-1502
(614) 234-6000
Mailing address
2673 KINGSTON AVE, GROVE CITY, OH 43123-3325
(614) 361-9057
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN.413215
OH
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN.CNP.022812
OH
Other
Enumeration date
05/18/2018
Last updated
08/25/2021
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