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NPI Code Detail

MEDICARE: MS. MONICA GRAY RN, BSN, MED

MEDICARE:  MS. MONICA  GRAY  RN, BSN, MED
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WS0200XSchool Registered Nurse163WS0200XAZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1154476794
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MONICA GRAY RN, BSN, MED
Provider Business Mailing Address
First Line : 6413 E VERNON AVE
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85257-1137
Country : US
Telephone Number : 480-484-5811
Fax Number :
Provider Business Practice Location Address
First Line : 6720 E CONTINENTAL DR
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85257-3226
Country : US
Telephone Number : 480-484-5811
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2007
Last Update Date : 07/08/2007

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Directions to “ MS. MONICA GRAY RN, BSN, MED” Practice Location

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