Provider Demographics
NPI:1225210461
Name:WRAY, LYNN R (RN)
Entity Type:Individual
Prefix:
First Name:LYNN
Middle Name:R
Last Name:WRAY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5324 PENN AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15224-1733
Mailing Address - Country:US
Mailing Address - Phone:412-441-4884
Mailing Address - Fax:412-441-0167
Practice Address - Street 1:5324 PENN AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15224-1733
Practice Address - Country:US
Practice Address - Phone:412-441-4884
Practice Address - Fax:412-441-0167
Is Sole Proprietor?:No
Enumeration Date:2007-11-29
Last Update Date:2007-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN280257L163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics