Gray, Heather D
Gray, Heather D is an individual health care provider with primary practice located at 325 E 6Th St , Port Angeles WA 98362-6203. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Nursing Service Providers / Registered Nurse. Nursing Service Providers / Registered Nurse is her primary health care specialty. Gray, Heather D can be contacted via phone (360) 461-4617.Contact Information
Primary practice address
325 E 6Th St
Port Angeles WA 98362-6203
Phone: (360) 461-4617
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | 60157857 | Washington |
| Nursing Service Providers / Registered Nurse | 163W00000X | 60157857 | Washington |
Profile Details
| NPI number | 1972106060 |
|---|---|
| LBN Legal business name | Gray, Heather D |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 19th, 2020 |
| Last updated | Nov 23rd, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972106060 | NPPES |
| Washington | Other | 60157857 | RN |
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