Individual
KIRA JEAN DE GREGORIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
3801 S KANNER HWY STE 200, STUART, FL 34994-4801
(772) 419-3301
(772) 419-3302
Mailing address
PO BOX 417, STUART, FL 34995-0417
(772) 223-2832
(772) 223-5653
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
APRN9334800
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017590200
—
FL
01
—
14YYO
FLORIDA BLUE
FL
Enumeration date
01/10/2015
Last updated
02/27/2020
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