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AM GRAY CONSULTING NPI 1033651203


NPI Information

NPI: 1033651203
Provider Name: AM GRAY CONSULTING

Doing Business As: REFLECTIONS IMAGE CENTER & SKINCARE INSTITUTE

Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 49D2195185

Address:
44125 WOODRIDGE PKWY
SUITE 220
LEESBURG, VA
ZIP 20176
Phone: (703) 539-6002
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AM GRAY CONSULTING is a family nurse practitioner in Leesburg, VA. AM GRAY CONSULTING NPI is 1033651203. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Reflections Image Center & Skincare Institute.

The provider's business location address is:

44125 WOODRIDGE PKWY
SUITE 220
LEESBURG, VA
ZIP 20176-839
Phone: (703) 539-6002
Fax: (703) 439-2829

The provider's authorized official is Lasondra Gray .
The authorized official title is Managing Member and has the following contact phone number (571) 337-3870.

The CLIA number assigned to this NPI record is 49D2195185 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/4/2016 and was last updated on 11/4/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP2300XNurse PractitionerPrimary Care28154063AINDIANANo
2363LF0000XNurse PractitionerFamily0024173992VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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