National Provider Identifier

Melissa C Gray, LPN

Melissa C Gray, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Brockport, NY and a listed phone number of (585) 330-0843.

NPI 1104263524Brockport, NYLicensed Practical Nurse

Profile Overview

NPI
1104263524
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
May 24, 2013
Last Updated
May 24, 2013

Practice Location

  • 4839 Redman RD
  • Brockport, NY 14420-9612

Phone: (585) 330-0843

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1104263524
Entity Type
Individual
Last Name
Gray
First Name
Melissa
Middle Name
C
Credential
LPN
Mailing Street Address
4839 Redman RD
Mailing City
Brockport
Mailing State
NY
Mailing ZIP Code
14420-9612
Mailing Country
US
Mailing Phone
(585) 330-0843
Practice Street Address
4839 Redman RD
Practice City
Brockport
Practice State
NY
Practice ZIP Code
14420-9612
Practice Country
US
Practice Phone
(585) 330-0843
Enumeration Date
May 24, 2013
Last Updated
May 24, 2013
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)