Shannon Gray Valid NPI

Individual provider · Addiction (Substance Use Disorder) Registered Nurse · Warrior, AL

NPI

1801610605

Type

Individual (Type 1)

Primary specialty

Addiction (Substance Use Disorder) Registered Nurse (Registered Nurse)

Specialty group

Nursing Service Providers

Taxonomy code

163WA0400X

License number

1-128598 (AL)

Sex

Female

Sole proprietor

Yes

Enumerated

2024-11-09

Last updated

2024-11-09