Kristen Maria Gray | Tampa, FL • PECOS Search

Kristen Maria Gray

Registered Nurse

Nursing Service Providers

13000 Bruce B Downs Blvd, Tampa, FL 33612-4745

PECOS Enrollment

Based on the most recent information from CMS, provider Kristen Maria Gray does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1427385764
Provider Type
Individual
Full Name
Gray, Kristen Maria
Gender
Female

Sole Proprietor
No
Enumeration Date
11/6/2009
Last Updated
11/6/2009

Contact Information

Practice Location

13000 Bruce B Downs Blvd, Tampa, FL 33612-4745

Unlisted Fax

Mailing Location

13000 Bruce B Downs Blvd, Tampa, FL 33612-4745

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 163WC0200X Primary	Description Registered Nurse Nursing Service Providers	License RN9214509 Florida