Individual
MRS. ELIZABETH WALTERS GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, AGNP-C
Contact information
Practice address
6060 PIEDMONT ROW DR S FL 10, CHARLOTTE, NC 28287-3893
(704) 495-6334
Mailing address
5960 FAIRVIEW RD STE 500, CHARLOTTE, NC 28210-3113
(704) 495-6334
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5010956
NC
363LG0600X
Gerontology Nurse Practitioner
5010956
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366925158
—
NC
Enumeration date
09/08/2018
Last updated
05/12/2026
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