Healthcare Provider Details

I. General information

NPI: 1225359243
Provider Name (Legal Business Name): ELIZABETH VAN HUFFEL DRAY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2010
Last Update Date: 04/30/2025
Certification Date: 04/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 HOSPITAL DR STE 2A
HENDERSONVILLE NC
28792-5244
US

IV. Provider business mailing address

PO BOX 1869
FLETCHER NC
28732-1869
US

V. Phone/Fax

Practice location:
  • Phone: 828-654-6015
  • Fax: 828-687-6058
Mailing address:
  • Phone: 828-687-5698
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number70075
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code2088F0040X
TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Urology) Physician
License Number52577
License Number StateSC
# 3
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number2024-01300
License Number StateNC
# 4
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number125-058618
License Number StateIL
# 5
Primary TaxonomyN
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number52577
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: