Individual
COURTNEY ANNE RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
77 CASA ST, SAN LUIS OBISPO, CA 93405-5803
(661) 695-8385
Mailing address
341 W MAGILL AVE, CLOVIS, CA 93612-0258
(559) 213-7218
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95041544
CA
363LF0000X
Family Nurse Practitioner
Primary
95028306
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95028306
CALIFORNIA BRN
CA
Enumeration date
11/03/2023
Last updated
12/31/2024
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