Individual
GRACE YU-HAESUNG BRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
984B LASKIN RD, VIRGINIA BEACH, VA 23451-3905
(757) 395-6900
Mailing address
984B LASKIN RD, VIRGINIA BEACH, VA 23451-3905
(757) 395-6900
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024173485
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0024173485
VIRGINIA STATE MEDICAL LICENSE
VA
05
—
1740636042
—
VA
Enumeration date
05/05/2016
Last updated
06/11/2024
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