Gray, Shannon Marketa
Gray, Shannon Marketa is an individual health care provider with primary practice located at 819 Walnut Park Dr , Suffolk VA 23434-4159. She recently has only one registered license in Nursing Service Providers / Administrator, which is considered as her primary health care specialty. Gray, Shannon Marketa can be contacted via phone (757) 725-1018.Contact Information
Primary practice address
819 Walnut Park Dr
Suffolk VA 23434-4159
Phone: (757) 725-1018
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Administrator | 163WA2000X | 0001294835 | Virginia |
Profile Details
| NPI number | 1699409771 |
|---|---|
| LBN Legal business name | Gray, Shannon Marketa |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2022 |
| Last updated | Nov 11th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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