Individual provider · Type 1 NPI
Karen Gray
Pediatric Nurse Practitioner · Phoenix, AZ
NPI number
1720534613
Active
Practice location
1919 E Thomas Rd
Phoenix, AZ 85016-7710
Fax (602) 933-1918
Mailing address
3200 E Camelback Rd, Ste 250
Phoenix, AZ 85018-2311
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | AP9586 (AZ) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1720534613
Karen Gray's National Provider Identifier is 1720534613, issued on Aug 30, 2016. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Phoenix, AZ. The record was last updated on Jan 11, 2019.