Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charleston Gray

Individual provider Emergency Registered Nurse · NPI 1780119735

Charleston Gray is an Emergency Registered Nurse in Gallup, New Mexico. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017

Practice location Address checks out

516 E Nizhoni Blvd Gallup Indian Medical Ctr
Gallup, NM 87301
Phone: (505) 722-1000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Registered Nurse (primary) Taxonomy 163WE0003X · Licence 771013 (CA)

Record details

NPI number1780119735
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 27, 2017
Last updated in NPPESApril 27, 2017
Mailing address516 E. Nizhoni Blvd, Gallup Indian Medical Center, Gallup, NM 87301

Other providers in Gallup