Individual
HEATHER WRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
636 DEL PRADO BLVD S, CAPE CORAL, FL 33990-2668
(239) 772-6513
Mailing address
6896 W SNOWVILLE RD, BRECKSVILLE, OH 44141-3214
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9228597
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
290181
AMERIGROUP
FL
05
—
307106500
—
FL
Enumeration date
05/20/2006
Last updated
03/25/2014
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