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ALLYSON RAE GRAY LPN NPI 1063669687


NPI Information

NPI: 1063669687
Provider Name: ALLYSON RAE GRAY, LPN
Classification: Licensed Practical Nurse - 164W00000X
Entity Type: Individual
Address:
301 ELM AVE SW
ROANOKE, VA
ZIP 24016
Phone: (540) 345-9841
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Allyson Rae Gray, LPN is a licensed practical nurse in Roanoke, VA. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. Allyson Rae Gray, LPN NPI is 1063669687. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

301 ELM AVE SW
ROANOKE, VA
ZIP 24016-001
Phone: (540) 345-9841
Fax: (540) 527-8900

The enumeration date for this NPI number is 8/26/2008 and was last updated on 8/26/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1164W00000XLicensed Practical Nurse0002051197VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11437137734MEDICAIDVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.