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AYANNA NATASHA GRAY-BOLDEN CRNP NPI 1831456888


NPI Information

NPI: 1831456888
Provider Name: AYANNA NATASHA GRAY-BOLDEN, CRNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: THE DELAWARE CENTER FOR MATERNAL AND FETAL MEDICINE OF CHRISTIANA CARE

PECOS Registration: Yes

Address:
3400 SPRUCE ST
7 SILVERSTEIN
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 662-6035
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Ayanna Natasha Gray-bolden, CRNP is a family nurse practitioner in Philadelphia, PA with 14 years of experience. Ayanna Natasha Gray-bolden, CRNP NPI is 1831456888. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3400 SPRUCE ST
7 SILVERSTEIN
PHILADELPHIA, PA
ZIP 19104-206
Phone: (215) 662-6035
Fax: (215) 349-5228

The NPI 1831456888 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/16/2012 and was last updated on 4/16/2012.


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
1363LF0000XNurse PractitionerFamilySP011305PENNSYLVANIAYes

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

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.