Individual
BREE A GREALIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, MSN
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
000363
CT
367A00000X
Advanced Practice Midwife
10035P
VI
Other
Enumeration date
08/28/2010
Last updated
09/02/2016
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