Wray, Shelley S

Wray, Shelley S is an individual health care provider with primary practice located at 2321 E Gala St Ste 3 , Meridian ID 83642-7692. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Wray, Shelley S can be contacted via phone (208) 888-5848.

Contact Information

Primary practice address
2321 E Gala St Ste 3 Meridian ID 83642-7692
Phone: (208) 888-5848
Fax: (208) 888-0884
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X NP-1476A Idaho
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X NP-1746A Idaho

Profile Details

NPI number 1447649975
LBN Legal business name Wray, Shelley S
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 21st, 2015
Last updated Sep 8th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1447649975 NPPES
Idaho MEDICAID 1447649975

Popular Providers