Stefanie Lea Gray is a Family in Martin, Tennessee. Stefanie Lea Gray practices all healthcare services and medical treatments related to Family. The NPI Number for Stefanie Lea Gray is 1891908117. The last update date is 2010-06-28.
Stefanie Lea Gray's current location address is 117 Kennedy Dr, Martin, Tennessee. You can contact this provider via phone number 7315879511 and fax number 7315870785. The mailing address for Stefanie Lea Gray is 117 Kennedy Dr, Martin, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stefanie Lea Gray |
|---|---|
| Address | 117 Kennedy Dr, Martin, Tennessee |
| Phone Number | 7315879511 |
| Fax Number | 7315870785 |
| Sole Proprietor | N |
| Credentials | APRN-BC |
NPI Number Detail
| NPI Number | 1891908117 |
|---|---|
| Provider Enumeration Date | 2007-05-07 |
| Last Updated Date | 2010-06-28 |
Provider Mailing Address Detail
| Address | 117 Kennedy Dr |
|---|---|
| City | Martin |
| State | Tennessee (TN) |
| Post Code | 382373309 |
| Phone Number | 7315879511 |
| Fax Number | 7315870785 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 12648 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4157106 | TN | BLUE CROSS BLUE SHIELD | |
| 3341164 | TN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Stefanie Lea Gray by the Centers for Medicare & Medicaid Services?
The Stefanie Lea Gray has been assigned the NPI (National Provider Identifier) 1891908117 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Stefanie Lea Gray is physically located?
The Stefanie Lea Gray is physically situated at the following address: 117 Kennedy Dr, Martin, TN, 382373309.
What is the Stefanie Lea Gray's specialty and taxonomy code?
The Stefanie Lea Gray's specialty is Family, and the corresponding taxonomy code is 363Lf0000X.
On what date did Stefanie Lea Gray receive its 1891908117 assignment from the Centers for Medicare & Medicaid Services?
The Stefanie Lea Gray was assigned its 1891908117 on 2007-05-07, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Stefanie Lea Gray's details last updated?
The information pertaining to the Stefanie Lea Gray, including its address, specialty, and other details, was most recently updated on 2010-06-28.
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