Individual
MISTI S GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
2296 OPTIZ BLVD, SUITE 440, ABOUT WOMEN OB/GYN, WOODBRIDGE, VA 22191
(703) 878-0740
(703) 878-3933
Mailing address
16410 STEDHAM CIRCLE, APT 104, DUMFRIES, VA 22025
(757) 325-7255
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
0024174967
VA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
0024174967
VA
Other
Enumeration date
07/21/2017
Last updated
07/21/2017
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