National Provider Identifier

Iesha Gray, LPN

Iesha Gray, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in West Henrietta, NY and a listed phone number of (585) 469-6921.

NPI 1689002230West Henrietta, NYLicensed Practical Nurse

Profile Overview

NPI
1689002230
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
October 17, 2013
Last Updated
October 17, 2013

Practice Location

  • 123 E Path Rise
  • West Henrietta, NY 14586-8601

Phone: (585) 469-6921

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1689002230
Entity Type
Individual
Last Name
Gray
First Name
Iesha
Credential
LPN
Mailing Street Address
123 E Path Rise
Mailing City
West Henrietta
Mailing State
NY
Mailing ZIP Code
14586-8601
Mailing Country
US
Mailing Phone
(585) 469-6921
Practice Street Address
123 E Path Rise
Practice City
West Henrietta
Practice State
NY
Practice ZIP Code
14586-8601
Practice Country
US
Practice Phone
(585) 469-6921
Enumeration Date
October 17, 2013
Last Updated
October 17, 2013
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)