Individual
MRS. ELIZABETH A GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
520 S EAGLE RD, 2213, MERIDIAN, ID 83642-6308
(208) 706-5447
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 850-9393
Taxonomy
Speciality
Code
Description
License number
State
363LX0106X
Occupational Health Nurse Practitioner
Primary
NP-440A
ID
Other
Enumeration date
11/17/2008
Last updated
01/23/2013
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