Individual
BREIGHANNA GRAY
Active
Individual
BREIGHANNA GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
L1-0051803
DE
363LA2100X
Acute Care Nurse Practitioner
R175210
MD
363LA2200X
Adult Health Nurse Practitioner
Primary
LP-0000237
DE
Other
Enumeration date
04/13/2015
Last updated
08/16/2019
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