Provider Demographics
NPI:1003267469
Name:GRAY, ERIN ABBEY (FPN-C)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:ABBEY
Last Name:GRAY
Suffix:
Gender:F
Credentials:FPN-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131 MEDICAL PARK RD
Mailing Address - Street 2:SUITE # 303
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28117-8522
Mailing Address - Country:US
Mailing Address - Phone:704-660-4584
Mailing Address - Fax:704-696-2929
Practice Address - Street 1:131 MEDICAL PARK RD
Practice Address - Street 2:SUITE # 303
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28117-8522
Practice Address - Country:US
Practice Address - Phone:704-660-4584
Practice Address - Fax:704-696-2929
Is Sole Proprietor?:No
Enumeration Date:2016-06-28
Last Update Date:2016-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCGRAY-ECRL35363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily