Provider Demographics
NPI:1982113767
Name:BRAY, CATHERINE A (BSN, RN, CDE)
Entity type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:A
Last Name:BRAY
Suffix:
Gender:F
Credentials:BSN, RN, CDE
Other - Prefix:MS
Other - First Name:CATHERINE
Other - Middle Name:
Other - Last Name:ARTOIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:860 OMNI BLVD STE 106
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23606-4430
Mailing Address - Country:US
Mailing Address - Phone:757-232-8768
Mailing Address - Fax:757-310-6163
Practice Address - Street 1:860 OMNI BLVD STE 106
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23606-4430
Practice Address - Country:US
Practice Address - Phone:757-232-8768
Practice Address - Fax:757-310-6163
Is Sole Proprietor?:No
Enumeration Date:2017-09-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001083774163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA21420023OtherCDE