Gray, Marta R

Gray, Marta R is an individual health care provider with primary practice located at 1430 Olive St Ste 400 , Saint Louis MO 63103-2303. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Gray, Marta R can be contacted via phone (314) 206-3700.

Contact Information

Primary practice address
1430 Olive St Ste 400 Saint Louis MO 63103-2303
Phone: (314) 206-3700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent 163WP0807X 2003018738 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2003018738 Missouri

Profile Details

NPI number 1801078423
LBN Legal business name Gray, Marta R
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2007
Last updated Aug 7th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1801078423 NPPES
Missouri Other 2003018738 MO DIVISION OF PROFESSIONAL REGISTRATION - RN AND APRN LICENSE NUMBER

Popular Providers