Individual
PHYLLIS RAY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
272 HOSPITAL RD, CHILLICOTHE, OH 45601-9031
(513) 672-3309
(513) 672-3323
Mailing address
11490 SPRINGFIELD PIKE, CINCINNATI, OH 45246-3524
(513) 672-3309
(513) 672-3323
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
092592
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0771553
—
OH
Enumeration date
09/16/2005
Last updated
07/08/2007
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