Provider Demographics
NPI:1164450409
Name:GRAY HALBERT, MONIQUE THERESE (CRNA)
Entity Type:Individual
Prefix:
First Name:MONIQUE
Middle Name:THERESE
Last Name:GRAY HALBERT
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16524 SW 67TH TERRACE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33193
Mailing Address - Country:US
Mailing Address - Phone:305-385-4356
Mailing Address - Fax:
Practice Address - Street 1:1400 NW 12 AVE
Practice Address - Street 2:UNIVERSITY OF MIAMI HOSPITAL DEPARTMENT OF ANESTHESIA
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33125-3771
Practice Address - Country:US
Practice Address - Phone:305-325-5416
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-28
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 3201332367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL306237600Medicaid