Individual provider · Type 1 NPI

Juanita Gray

Licensed Practical Nurse · Staten Island, NY

NPI number 1174844500 Active

Practice location

143 Bement Ave
Staten Island, NY 10310-1504

Call (718) 300-0684 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X217733-1 (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 1174844500

Juanita Gray's National Provider Identifier is 1174844500, issued on Jun 21, 2010. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Staten Island, NY. The record was last updated on Jun 21, 2010.