Doctor Name: | ANN MARIE GREGORY |
NPI Number: | 1487645826 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | F333023 |
Business Practice Address: | 79 North St Granville Family Health Granville, NY - 128321137 |
Business Phone Number: | 5186420612 |
Business Fax Number: | 5186420693 |
Mailing Address: | Po Box 304, GLENS FALLS |
State: | NY |
Postal Code: | 128010304 |
Phone Number: | 5186420612 |
Fax Number: | 5186420693 |
NPI Enumeration Date: | 11/03/2005 |
NPI Last Update Date: | 06/07/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | F333023 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |