Provider Demographics
NPI:1386756088
Name:BRAY, ANDREA B (NP)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:B
Last Name:BRAY
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:9457 S UNIVERSITY BLVD
Mailing Address - Street 2:#614
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80126
Mailing Address - Country:US
Mailing Address - Phone:303-886-0668
Mailing Address - Fax:720-536-5904
Practice Address - Street 1:9457 S UNIVERSITY BLVD
Practice Address - Street 2:#614
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80126
Practice Address - Country:US
Practice Address - Phone:303-886-0668
Practice Address - Fax:720-536-5904
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2024-05-08
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Provider Licenses
StateLicense IDTaxonomies
CO116665364S00000X, 163W00000X, 363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist
No163W00000XNursing Service ProvidersRegistered Nurse