Individual
MARIETTE ZANDERS GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
100 N MAIN ST, CHATTAHOOCHEE, FL 32324-1107
(850) 663-7383
Mailing address
473 ELK CLUB RD, QUINCY, FL 32352-6492
(850) 856-9426
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11009858
FL
Other
Enumeration date
11/02/2020
Last updated
11/02/2020
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