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Contact Information

MARTA R GRAY, F.N.P.
1430 OLIVE ST STE 400
SAINT LOUIS, MO63103-2303
 Phone: 314-206-3700
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Psychiatric/Mental Health, Child & Adolescent

163WP0807X
Indicates primary specialty

NPI Profile & details for MARTA R GRAY · (Female)

NPI Number 1801078423
Status Active
Credentials F.N.P.
Entity Individual
Enumeration date 12/05/2007
Last updated 08/07/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2003018738
  • MO Other 2003018738 MO DIVISION OF PROFESSIONAL REGISTRATION - RN AND APRN LICENSE NUMBER
Hospital affiliation(s) Not Available
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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