Individual provider · Type 1 NPI

Charleston Gray

Emergency Registered Nurse · Gallup, NM

NPI number 1780119735 Active

Practice location

516 E. Nizhoni Blvd, Gallup Indian Medical Center
Gallup, NM 87301

Specialties and licenses

TaxonomyCodeLicense
Emergency Registered Nurse Primary 163WE0003X771013 (CA)

Emergency Registered Nurse: Definition to come...

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About NPI 1780119735

Charleston Gray's National Provider Identifier is 1780119735, issued on Apr 27, 2017. The primary taxonomy on file is Emergency Registered Nurse (163WE0003X), and the practice location is in Gallup, NM. The record was last updated on Apr 27, 2017.