Provider Demographics
NPI:1922864008
Name:GRAY, TYRANIE SHARAY
Entity Type:Individual
Prefix:
First Name:TYRANIE
Middle Name:SHARAY
Last Name:GRAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4945 OSBORN RD
Mailing Address - Street 2:
Mailing Address - City:GARFIELD HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44128-3141
Mailing Address - Country:US
Mailing Address - Phone:216-370-0084
Mailing Address - Fax:
Practice Address - Street 1:4945 OSBORN RD
Practice Address - Street 2:
Practice Address - City:GARFIELD HTS
Practice Address - State:OH
Practice Address - Zip Code:44128-3141
Practice Address - Country:US
Practice Address - Phone:216-370-0084
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-26
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide