Gray, Trenton D

Gray, Trenton D is an individual health care provider with primary practice located at 3702 S State St Ste 107 , South Salt Lake UT 84115-5096. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Gray, Trenton D can be contacted via phone (801) 288-2634.

Contact Information

Primary practice address
3702 S State St Ste 107 South Salt Lake UT 84115-5096
Phone: (801) 288-2634
Fax: (801) 288-1186
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 11513298-4405 Utah

Profile Details

NPI number 1639692510
LBN Legal business name Gray, Trenton D
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2017
Last updated May 2nd, 2024 - about 2 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 1639692510 NPPES
Utah MEDICAID 1639692510

Popular Providers