Gray, Shywhann Denise

Gray, Shywhann Denise is an sole proprietor health care provider with primary practice located at 2418Nw 18Th St. , Ocala FL 34475. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Gray, Shywhann Denise can be contacted via phone (352) 207-2453.

Contact Information

Primary practice address
2418Nw 18Th St. Ocala FL 34475
Phone: (352) 207-2453
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X PN5171693 Florida

Profile Details

NPI number 1306101472
LBN Legal business name Gray, Shywhann Denise
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 5th, 2012
Last updated Jul 5th, 2012 - about 14 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 1306101472 NPPES
Florida MEDICAID 693660179

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