National Provider Identifier

Bobby Gray, LPN

Bobby Gray, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Depew, NY and a listed phone number of (716) 573-1224.

NPI 1649779612Depew, NYLicensed Practical Nurse

Profile Overview

NPI
1649779612
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
February 06, 2018
Last Updated
February 06, 2018

Practice Location

  • 474 Dick RD, Apt A3
  • Depew, NY 14043-1404

Phone: (716) 573-1224

Mailing Address

  • 474 Dick RD Apt A3
  • Depew, NY 14043-1840

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1649779612
Entity Type
Individual
Last Name
Gray
First Name
Bobby
Name Prefix
MS.
Credential
LPN
Mailing Street Address
474 Dick RD Apt A3
Mailing City
Depew
Mailing State
NY
Mailing ZIP Code
14043-1840
Mailing Country
US
Mailing Phone
(716) 573-1224
Practice Street Address
474 Dick RD, Apt A3
Practice City
Depew
Practice State
NY
Practice ZIP Code
14043-1404
Practice Country
US
Practice Phone
(716) 573-1224
Practice Fax
(716) 573-1224
Enumeration Date
February 06, 2018
Last Updated
February 06, 2018
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)