| Provider / Organization | NPI | Date Certified |
|---|---|---|
| PATRICIA TUCKER BRAY | 1265154116 | 2022-09-16 |
Patricia Tucker Bray is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1265154116. Registration indicates Patricia Tucker Bray is a provider of services with a specialization in Nursing Service Providers, Registered Nurse (Registered Nurse, ) (All Other Specialties & Provider Types, ) (Registered Nurse, Nursing Service Providers)
| Entity Type | Individual |
| Provider Name | Patricia Tucker Bray RN |
| Other Provider Name | Patricia M Tucker |
| Practice Office Address | 624 S FAYETTEVILLE ST STE D ASHEBORO, NC US |
| Practice Office Telephone | 3365214988 |
| Practice Office Fax | 3362571993 |
| Mailing Address | 624 S FAYETTEVILLE ST STE D ASHEBORO, NC 272036582 US |
| Business Telephone | 3365214988 |
| Business Fax | 3362571993 |
| Code | Practice | License No State |
|---|---|---|
| 163W00000X PRIMARY | Nursing Service Providers Registered Nurse Registered Nurse All Other Specialties & Provider Types Registered Nurse Nursing Service Providers | 115812
NC |