Provider Demographics
NPI:1194523183
Name:GRAYSON, CASHANA
Entity type:Individual
Prefix:
First Name:CASHANA
Middle Name:
Last Name:GRAYSON
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1816 S WOODROW ST
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72204-4170
Mailing Address - Country:US
Mailing Address - Phone:501-541-3923
Mailing Address - Fax:
Practice Address - Street 1:1816 S WOODROW ST
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72204-4170
Practice Address - Country:US
Practice Address - Phone:501-541-3923
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-05
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider