Individual
MRS. ELISSE KENTY GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
116 DEFENSE HWY STE 500, ANNAPOLIS, MD 21401-7063
(410) 266-1644
(443) 808-8551
Mailing address
116 DEFENSE HWY STE 500, ANNAPOLIS, MD 21401-7063
(410) 266-1644
(443) 808-8551
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95014353
CA
363LF0000X
Family Nurse Practitioner
R191357
MD
Other
Enumeration date
03/08/2018
Last updated
04/08/2022
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