MR. NICKOLAS VINCENT MINOR RAY RN NPI 1134421563

NPI Information

  • NPI: 1134421563
  • Provider Name: MR. NICKOLAS VINCENT MINOR RAY, RN
  • Classification: Registered Nurse - 163WP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 3095 KETTERING BLVD
    MORAINE, OH
    ZIP 45439
  • Phone: (937) 293-8300

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NPI Details

MR. Nickolas Vincent Minor Ray, RN is a psychiatric/mental health registered nurse in Moraine, OH. MR. Nickolas Vincent Minor Ray, RN NPI is 1134421563. 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:

3095 KETTERING BLVD
MORAINE, OH
ZIP 45439-983
Phone: (937) 293-8300

The enumeration date for this NPI number is 11/17/2010 and was last updated on 10/3/2019.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WP0808XRegistered NursePsychiatric/Mental HealthRN.445733OHIOYes

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: 11/21/2025

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