Individual
MARCH ELLEN GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
602 TITUS ST STE 120, GILMER, TX 75644-1779
(903) 843-5585
(903) 843-5587
Mailing address
PO BOX 610393, DALLAS, TX 75261-0393
(903) 757-6042
(903) 232-8226
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
718744
TX
363L00000X
Nurse Practitioner
Primary
1010855
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
419858201
—
TX
Enumeration date
07/31/2020
Last updated
04/01/2021
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