Doctor Name: | DOLORES BRAY |
NPI Number: | 1003852609 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | 1-029788 |
Business Practice Address: | 501 Bishop Ln N Mobile, AL - 366085821 |
Business Phone Number: | 2514502240 |
Business Fax Number: | 2514502245 |
Mailing Address: | 5750 Southland Dr # A, MOBILE |
State: | AL |
Postal Code: | 366933316 |
Phone Number: | 2516627290 |
Fax Number: | 2516627297 |
NPI Enumeration Date: | 06/21/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | 1-029788 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |