Individual
SUSAN E. GREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
200 RETREAT AVENUE, HARTFORD HOSPITAL PSYCHIATRY DEPT, HARTFORD, CT 06106-3310
(860) 545-7330
Mailing address
PO BOX 415933, HARTFORD HOSPITAL PROFESSIONAL SERVICES, BOSTON, MA 02241-5933
(860) 545-7602
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
000977
CT
163WP0808X
Psychiatric/Mental Health Registered Nurse
000977
CT
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
000977
CT
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
000977
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000977
APRN LICENSE
CT
05
—
004255677
—
CT
01
—
2037373
CIGNA PROVIDER NUMBER
CT
01
—
24692
CONTROLLED SUBST. REGISTR
CT
01
—
400000977CT02
ANTHEM BC/BS PROVIDER NUM
CT
01
—
7820698
AETNA PROVIDER NUMBER
CT
01
—
P3602617
OXFORD PROVIDER NUMBER
CT
01
—
R33694
RN LICENSE
CT
Enumeration date
07/11/2006
Last updated
03/02/2011
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