Individual
ELIZABETH ROSE GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
101 SIVLEY RD SW, HUNTSVILLE, AL 35801-4470
(256) 265-7677
(256) 265-7677
Mailing address
112 OAKSIDE CIR NW, MADISON, AL 35757-4201
(334) 718-9588
(256) 265-7677
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1-146153
AL
363LP0222X
Critical Care Pediatric Nurse Practitioner
1-146153
AL
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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