Gray, Roberta

Gray, Roberta is an individual health care provider with primary practice located at 240 Lucy Dr , Harrisonburg VA 22801-8036. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Allopathic & Osteopathic Physicians / Obstetrics. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Gray, Roberta can be contacted via phone (540) 438-1314.

Contact Information

Primary practice address
240 Lucy Dr Harrisonburg VA 22801-8036
Phone: (540) 438-1314
Fax: (540) 438-0797
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X ME00024500 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 0024172520 Virginia
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X 0024172520 Virginia

Profile Details

NPI number 1285614685
LBN Legal business name Gray, Roberta
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Jul 13th, 2023 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285614685 NPPES
Virginia MEDICAID C06068

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