Elizabeth Anne Bray, FNP-C

Individual provider Active NPI Family Nurse Practitioner · Paris, TX

NPI 1508065962 · NPPES record last updated Jul 16, 2007

Key facts

NPI
1508065962
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
713134 (TX)
Practice address
2915 N Main St
Paris, TX 75460-9360
Phone
(903) 784-4044
Fax
(903) 784-4201
NPI assigned
Jul 16, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 713134 TX Yes

Addresses

Primary practice location

2915 N Main St
Paris, TX 75460-9360

Mailing address

2915 N Main St
Paris, TX 75460-9360
Phone (903) 784-4044

Other names

  • Beth Anne Wikoff Former name

Other providers in Paris, TX

All providers in Paris, TX · Family Nurse Practitioner in Texas

Sources for this page

Verify at the official NPI Registry.