Phadra M Gray
Registered Nurse, General Practice in Cincinnati, OH. Individual provider (NPI-1).
NPI number1568991925
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1568991925
- Entity type
- Individual (NPI-1)
- Name
- Phadra M Gray
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 8, 2017
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WG0000X | Registered Nurse, General Practice | 431714 | OH | Yes |
Practice location
6725 Lebanon StCincinnati, OH 45216
Phone 513-242-0740
Mailing address
6725 Lebanon StCincinnati, OH 45216-2013
Phone 513-242-0740
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