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Contact Information

HEIDI J BRAY, ARNP
413 LILLY RD NE
OLYMPIA, WA98506-5133
 Phone: 360-493-4069
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for HEIDI J BRAY · (Female)

NPI # 1366492241
Status Active
Credentials ARNP (Advanced Registered Nurse Practitioner)
Entity Individual
Enumeration date 05/11/2006
Last updated 02/14/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • WA License # AP30005713
  • WA License # RN00131557
  • WA Medicaid 9633033
  • WA Other 0155906 LABOR & INDUSTRY
  • WA Other 53188U REGENCE BLUESHIELD
Hospital affiliation(s)
  • PROVIDENCE ST PETER HOSPITAL - (Acute Care)
    413 LILLY ROAD NE
    OLYMPIA, WA 98506
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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