Individual provider · Type 1 NPI
Richard Gray, PMHNP-BC, FNP-BC
Psychiatric/Mental Health Nurse Practitioner · Palmer, AK
NPI number
1245753656
Active
Practice location
634 S Bailey St Ste 201
Palmer, AK 99645-6360
Fax (907) 931-6379
Mailing address
1150 S Colony Way Ste 3
Palmer, AK 99645-6972
Other practice locations
- 3505 E Meridian Park Loop Ste 200, Wasilla, AK 99654-7242 · (079) 357-4400
- 1265 S Seward Meridian Pkwy, Wasilla, AK 99654-8351 · (907) 376-9091
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | TAPRN701646 (NV) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN002619 (NV) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 132337 (AK) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1245753656
Richard Gray, PMHNP-BC, FNP-BC's National Provider Identifier is 1245753656, issued on Jul 18, 2017. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Palmer, AK. The record was last updated on Jan 14, 2025.