Phoebe Sue Gray , RN, PNP
Nurse Practitioner - Pediatrics • Boise, ID
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Phoebe Gray has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Phoebe Gray, RN, PNP was a registered Nurse Practitioner - Pediatrics practicing in Boise, ID. Throughout an active medical career spanning 14 years, Phoebe Gray provided care at the practice location at 777 N RAYMOND ST until profile deactivation on 2020-02-13.
Practice Location & Contact Primary Location
777 N Raymond St
Boise, ID 837049251
Specialty Benchmarks & Practice Insights
Comparative analytics for Nurse Practitioner - Pediatrics in Boise, ID
Practicing in Boise, ID (60 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 363LP0200X
Definition to come...
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Counselor - Professional
Master of Social Work, Licensed Clinical Social Worker
Family Medicine
Doctor of Medicine (M.D.)
Family Medicine
Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant (Certified)
Family Medicine
Doctor of Medicine (M.D.)
Psychologist
Doctor of Philosophy (Ph.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on February 13, 2020
NPI status registered as active in NPPES database
Registered at 777 N RAYMOND ST, BOISE, ID 837049251 (Tel: 2083676030)
Registered at 6208 S MOON PL, BOISE, ID 837097893 (Tel: 2083626291)
Recorded as PHOEBE GRAY, R.N., P.N.P.
Nurse Practitioner (License #NP256A in ID)
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
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NPI Administrative Meta
Mailing Address
6208 S Moon Pl
Boise, ID 837097893
Phone: 2083626291
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