Individual provider · Type 1 NPI
Shannon Marketa Gray, RN
Administrator Registered Nurse · Suffolk, VA
NPI number
1699409771
Active
Practice location
819 Walnut Park Dr
Suffolk, VA 23434-4159
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Administrator Registered Nurse Primary | 163WA2000X | 0001294835 (VA) |
Administrator Registered Nurse: Definition to come...
Another provider at this address
About NPI 1699409771
Shannon Marketa Gray, RN's National Provider Identifier is 1699409771, issued on Jul 13, 2022. The primary taxonomy on file is Administrator Registered Nurse (163WA2000X), and the practice location is in Suffolk, VA. The record was last updated on Nov 11, 2022.