Natasha Gray, DNP | |
18699 N 67th Ave Ste 120, Glendale, AZ 85308-7141 | |
(888) 402-7256 | |
Not Available |
Full Name | Natasha Gray |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 7 Years |
Location | 18699 N 67th Ave Ste 120, Glendale, Arizona |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023537263 | NPI | - | NPPES |
CP001268 | Other | SD | SD BON |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | CP001268 (South Dakota) | Primary |
363L00000X | Nurse Practitioner | TEMP308456 (Arizona) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Monument Health Rapid City Hospital | Rapid city, SD | Hospital |
Monument Health Spearfish Hospital | Spearfish, SD | Hospital |
Monument Health Custer Hospital | Custer, SD | Hospital |
Monument Health Lead-deadwood Hospital | Deadwood, SD | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Monument Health Rapid City Hospital Inc | 6002729506 | 431 |
Entity Name | Monument Health Rapid City Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275553463 PECOS PAC ID: 6002729506 Enrollment ID: O20070625000144 |
Mailing Address | Practice Location Address |
---|---|
Natasha Gray, DNP 15564 229th St, Box Elder, SD 57719-8032 Ph: (605) 209-0301 | Natasha Gray, DNP 18699 N 67th Ave Ste 120, Glendale, AZ 85308-7141 Ph: (888) 402-7256 |
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