NPI 1285982942 · live from the CMS NPI Registry
Lelia C Gray, ARNP
Nurse Practitioner in Winter Haven, FL. National Provider Identifier 1285982942, active.
NPI record
| NPI | 1285982942 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner 363L00000X |
| Practice location | 435 2nd St Ne, Winter Haven, FL 33881 |
| Practice phone | 863-299-4567 |
| Mailing address | Po Box 191, Rockland, DE 19732 |
| Enumerated | August 28, 2012 |
| Last updated | May 26, 2015 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics | 363LP0200X | ARNP1984742 (FL) |
| Nurse Practitioner primary | 363L00000X | ARNP1984742 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.