Gray, Stephanie R

Gray, Stephanie R is an individual health care provider with primary practice located at 801 Harmony St Suite 302, Council Bluffs IA 51503-3106. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Gray, Stephanie R can be contacted via phone (712) 328-2609.

Contact Information

Primary practice address
801 Harmony St Suite 302 Council Bluffs IA 51503-3106
Phone: (712) 328-2609
Fax: (712) 328-9257
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 098610 Iowa
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 098610 Iowa

Profile Details

NPI number 1598786097
LBN Legal business name Gray, Stephanie R
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Apr 18th, 2014 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1598786097 NPPES
Iowa Other I87040089 MEDICARE PTAN

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