Individual
MS. ABBY LYNN GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2088
(208) 381-2893
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2088
(208) 381-2893
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
NP-1012A
ID
Other
Enumeration date
09/03/2010
Last updated
02/01/2012
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