Individual provider · Type 1 NPI
Porsha K. Gray, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Lancaster, CA
NPI number
1346981750
Active
Practice location
506 W Jackman St
Lancaster, CA 93534-2531
Mailing address
16145 Apricot Ave
Chino, CA 91708-8875
Other practice locations
- 790 E Colorado Blvd Fl 9, Pasadena, CA 91101-2193 · (657) 204-6014
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NP95020006 (CA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 95020006 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1346981750
Porsha K. Gray, PMHNP-BC's National Provider Identifier is 1346981750, issued on Apr 7, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Lancaster, CA. The record was last updated on Jul 26, 2022.