Individual
LAURA GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1000 WILLOW CREEK RD STE A, PRESCOTT, AZ 86301-1645
(928) 460-9866
(928) 259-2885
Mailing address
PO BOX 4235, PRESCOTT, AZ 86302-4235
(928) 460-9866
(928) 259-2885
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
236320
AZ
Other
Enumeration date
01/10/2020
Last updated
09/30/2022
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