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NPI Code Detail

MEDICARE: STEVE BRIGHAM GRAY CRNA

MEDICARE: STEVE BRIGHAM GRAY CRNA
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
1163W00000XRegistered Nurse0001327001VA

General Provider Information

NPI Number : 1871423954
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVE BRIGHAM GRAY CRNA
Provider Business Mailing Address
First Line : 1406 POULES LN
Second Line :
City : CHESAPEAKE
State : VA
Zip : 23320-3044
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 888 SWIFT BLVD
Second Line :
City : RICHLAND
State : WA
Zip : 99352-3514
Country : US
Telephone Number : 509-946-4611
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2026
Last Update Date : 05/21/2026

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Directions to “ STEVE BRIGHAM GRAY CRNA” Practice Location

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