Individual
MR. SCOTT GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
344 E 6TH ST, MADERA, CA 93638-3631
(559) 664-4000
(559) 675-5224
Mailing address
323 ROSE AVE, CHOWCHILLA, CA 93610-2061
(559) 664-4000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
529574
CA
163WA2000X
Administrator Registered Nurse
529574
CA
163WC0400X
Case Management Registered Nurse
529574
CA
163WC1500X
Community Health Registered Nurse
529574
CA
163WE0003X
Emergency Registered Nurse
529574
CA
163WG0000X
General Practice Registered Nurse
Primary
529574
CA
163WX0106X
Occupational Health Registered Nurse
529574
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
529574
RN LICENSE
CA
Enumeration date
04/17/2007
Last updated
09/11/2025
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