Individual
EILEEN H GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
195 COLLYER ST, SUITE 201, PROVIDENCE, RI 02904-1869
(401) 276-2002
(401) 272-9299
Mailing address
20 MURPHY DR, CUMBERLAND, RI 02864-4120
(401) 333-3443
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NPP37328
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31019
BLUE SHIELD
RI
05
—
9004525
—
RI
Enumeration date
08/31/2006
Last updated
02/20/2009
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