Individual
AMANDA KELLEY WRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
2207 VIKING LN, RICHMOND, VA 23228-3836
(804) 629-5818
Mailing address
2207 VIKING LN, RICHMOND, VA 23228-3836
(804) 629-5818
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024187690
VA
Other
Enumeration date
08/17/2023
Last updated
08/17/2023
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