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Individual

KRISTA M GRAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
446 N READING RD, SUITE 301, EPHRATA, PA 17522-9802
(717) 733-6546
(717) 733-6010
Mailing address
4131 OREGON PIKE, SUITE C, EPHRATA, PA 17522-9550
(717) 859-5161
(717) 859-5169

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP007924
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1559198
GATEWAY
PA
01
1599241
BLUE SHIELD
PA
01
50063716
CAPITAL BLUE CROSS
PA
Enumeration date
08/01/2006
Last updated
05/27/2015
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