Individual provider · Type 1 NPI

Melissa C. Gray, LPN

Licensed Practical Nurse · Brockport, NY

NPI number 1104263524 Active

Practice location

4839 Redman Rd
Brockport, NY 14420-9612

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X300698 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1104263524

Melissa C. Gray, LPN's National Provider Identifier is 1104263524, issued on May 24, 2013. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Brockport, NY. The record was last updated on May 24, 2013.