Individual
NICOLA SUZANNE GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP-AC
Contact information
Practice address
4090 BRIARGATE PKWY, COLORADO SPRINGS, CO 80920-7815
(720) 777-5211
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
C-APN.0001417.NP
CO
363LP0200X
Pediatric Nurse Practitioner
Primary
C-APN.0001417.NP
CO
Other
Enumeration date
03/17/2017
Last updated
07/03/2024
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