Shawn Rooney Gray in Beaumont - Nurse Practitioner

Shawn Rooney Gray - NPI 1578513040

Shawn Rooney Gray is a Nurse Practitioner in Beaumont, Texas. Shawn Rooney Gray practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Shawn Rooney Gray is 1578513040. The last update date is 2010-11-24.

Shawn Rooney Gray's current location address is 857 E. Virginia, Beaumont, Texas. You can contact this provider via phone number 4098808466 and fax number 4098807703. The mailing address for Shawn Rooney Gray is 857 E. Virginia, Beaumont, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Shawn Rooney Gray
Address 857 E. Virginia, Beaumont, Texas
Phone Number 4098808466
Fax Number 4098807703
Sole Proprietor N
Credentials MSN

NPI Number Detail

NPI Number 1578513040
Provider Enumeration Date 2006-05-12
Last Updated Date 2010-11-24

Provider Mailing Address Detail

Address 857 E. Virginia
City Beaumont
State Texas (TX)
Post Code 77705
Phone Number 4098808466
Fax Number 4098807703

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No 618115
Definition:
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8N9839 TX BLUE CROSS BLUE SHIELD

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FAQs about Shawn Rooney Gray

What is the unique 10-digit identifier code assigned to Shawn Rooney Gray by the Centers for Medicare & Medicaid Services?

The Shawn Rooney Gray has been issued the NPI (National Provider Identifier) 1578513040 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Shawn Rooney Gray?

The Shawn Rooney Gray is physically situated at 857 E. Virginia, in the city of Beaumont, state of TX, with the postal code 77705.

What is the Shawn Rooney Gray's specialty and taxonomy code?

The Shawn Rooney Gray's specialty is Nurse Practitioner, and the corresponding taxonomy code is 363L00000X.

On what date was the 1578513040 assigned to Shawn Rooney Gray?

The Shawn Rooney Gray was issued its 1578513040 on 2006-05-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Shawn Rooney Gray's details last updated?

The information pertaining to the Shawn Rooney Gray, including its address, specialty, and other details, was most recently updated on 2010-11-24.

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