Provider Demographics
NPI:1114653987
Name:WRAY, WHITNEY RENAE (APRN)
Entity type:Individual
Prefix:
First Name:WHITNEY
Middle Name:RENAE
Last Name:WRAY
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8900 EASTLOCH DR STE 235
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-2341
Mailing Address - Country:US
Mailing Address - Phone:832-717-7166
Mailing Address - Fax:
Practice Address - Street 1:8900 EASTLOCH DR STE 235
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-2341
Practice Address - Country:US
Practice Address - Phone:327-177-1668
Practice Address - Fax:832-717-9605
Is Sole Proprietor?:No
Enumeration Date:2022-07-25
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1088178363LP0808X
TX953435163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse