Carrie Jean Gray in Saint Paul - Physician Assistant

Carrie Jean Gray - NPI 1194784405

Carrie Jean Gray is a Physician Assistant in Saint Paul, Minnesota. Carrie Jean Gray practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Carrie Jean Gray is 1194784405. The last update date is 2011-10-27.

Carrie Jean Gray's current location address is 911 Maryland Ave E, Saint Paul, Minnesota. You can contact this provider via phone number 6517762719 and fax number 6517713978. The mailing address for Carrie Jean Gray is 911 Maryland Ave E, Saint Paul, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Carrie Jean Gray
Address 911 Maryland Ave E, Saint Paul, Minnesota
Phone Number 6517762719
Fax Number 6517713978
Sole Proprietor N
Credentials PA C

NPI Number Detail

NPI Number 1194784405
Provider Enumeration Date 2006-03-23
Last Updated Date 2011-10-27

Provider Mailing Address Detail

Address 911 Maryland Ave E
City Saint Paul
State Minnesota (MN)
Post Code 551062697
Phone Number 6517762719
Fax Number 6517713978

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 10404
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
958157000 MN --

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FAQs about Carrie Jean Gray

What is the unique identifier code issued to Carrie Jean Gray by the Centers for Medicare & Medicaid Services?

The Carrie Jean Gray has been assigned the NPI (National Provider Identifier) 1194784405. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Carrie Jean Gray's facilities are situated?

The facilities of Carrie Jean Gray are physically located at the following address: 911 Maryland Ave E, Saint Paul, MN, 551062697.

What is Carrie Jean Gray's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Carrie Jean Gray is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.

On what date was the 1194784405 assigned to Carrie Jean Gray?

The Carrie Jean Gray was issued its 1194784405 on 2006-03-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

On what date did the Carrie Jean Gray receive the assignment of its 1194784405 from the Centers for Medicare & Medicaid Services?

The Carrie Jean Gray was issued its 1194784405 by the Centers for Medicare & Medicaid Services on 2006-03-23.

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