Individual
MS. ANNETTE ELIZABETH GREGOIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
500 E. VETERANS ST., TOMAH, WI 54660-3105
(608) 372-3971
Mailing address
1911 S LAKE IRVING DR SW, BEMIDJI, MN 56601-8854
(218) 759-0228
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R 075047-3
MN
364SA2200X
Adult Health Clinical Nurse Specialist
R 075047-3
MN
Other
Enumeration date
06/09/2005
Last updated
09/24/2008
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