CHARLESTON GRAY NPI 1780119735

NPI Information

NPI: 1780119735
Provider Name: CHARLESTON GRAY
Classification: Registered Nurse - 163WE0003X
Entity Type: Individual

Specialization: Emergency

Address:
516 E. NIZHONI BLVD
GALLUP INDIAN MEDICAL CENTER
GALLUP, NM
ZIP 87301
Phone: (505) 722-1000
Get Directions

Charleston Gray is an emergency registered nurse in Gallup, NM. Charleston Gray NPI is 1780119735. 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:

516 E. NIZHONI BLVD
GALLUP INDIAN MEDICAL CENTER
GALLUP, NM
ZIP 87301
Phone: (505) 722-1000

The enumeration date for this NPI number is 4/27/2017 and was last updated on 4/27/2017.

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
1	163WE0003X	Registered Nurse	Emergency	771013	CALIFORNIA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »