Doctor Name: | MISS ETHEL GRAY |
NPI Number: | 1073903530 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNA |
License Number: | 230042 |
Business Practice Address: | 6238 Ryerson Cir Apt. 7 Wesley Chapel, FL - 335445343 |
Business Phone Number: | 8139949473 |
Business Fax Number: | |
Mailing Address: | 6238 Ryerson Cir, Apt. 7 WESLEY CHAPEL |
State: | FL |
Postal Code: | 335445343 |
Phone Number: | 8139949473 |
Fax Number: | |
NPI Enumeration Date: | 02/04/2015 |
NPI Last Update Date: | 02/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 374U00000X |
License Number: | 230042 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Nursing Service Related Providers |
Taxonomy Classification: | Home Health Aide |
Taxonomy Specialization: | |
Taxonomy Definition: | A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |