Individual
KAREN GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-1900
(602) 933-1918
Mailing address
3200 E CAMELBACK RD, STE 250, PHOENIX, AZ 85018-2311
(602) 933-1813
(602) 933-1820
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP9586
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206808
—
AZ
Enumeration date
08/30/2016
Last updated
01/11/2019
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