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Individual

ELIZA GREY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, RN, PMHNP-BC

Contact information

Practice address
9930 EVERGREEN WAY STE Z154, EVERETT, WA 98204-3889
(425) 263-3006
(425) 263-3007
Mailing address
4608 DAYTON AVE N, SEATTLE, WA 98103-6426
(512) 538-5713

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN60767346
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61250647
WA

Other

Enumeration date
03/15/2019
Last updated
02/02/2024
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