Sheri Gray, RN
Individual provider Active NPI General Practice Registered Nurse · Keller, WA
NPI 1780063263 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1780063263
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Registered Nurse 163WG0000X
- License
- RN60699038 (WA)
- Practice address
- 12120 S Highway 21
Keller, WA 99140-9514 - Phone
- (707) 798-7478
- NPI assigned
- May 29, 2015
- 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)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN60699038 | WA | MD | General Practice Registered Nurse |
| 278383 | CA | MD | Licensed Vocational Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 278383 | CA | |
| General Practice Registered Nurse | 163WG0000X | RN60699038 | WA | Yes |
Addresses
Primary practice location
12120 S Highway 21
Keller, WA 99140-9514
Mailing address
12120 S Highway 21
Keller, WA 99140-9514
Phone (707) 798-7478
Other practice location 1
425 N Sycamore Ave Apt 1
Los Angeles, CA 90036-2659
Phone (661) 803-3807
Other providers in Keller, WA
- Hope E Achenbach
- Clara Ann Carson
- Colville Nation Community Health Centers
- Confederated Tribes of the Colville Reservation
- Confederated Tribes of the Colville Reservation
- Keller School District
- Jadi Jo Reynolds
All providers in Keller, WA · General Practice Registered Nurse in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.