Provider Demographics
NPI:1982906293
Name:GRAY, SHARON LYNNE (CERTIFIED)
Entity Type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:LYNNE
Last Name:GRAY
Suffix:
Gender:F
Credentials:CERTIFIED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:97 ROLLING RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:WEST MILFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07480-2954
Mailing Address - Country:US
Mailing Address - Phone:973-728-9763
Mailing Address - Fax:
Practice Address - Street 1:97 ROLLING RIDGE RD
Practice Address - Street 2:
Practice Address - City:WEST MILFORD
Practice Address - State:NJ
Practice Address - Zip Code:07480-2954
Practice Address - Country:US
Practice Address - Phone:973-728-9763
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-19
Last Update Date:2010-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula