Individual
MARY MARGARET GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1750 OAK HILL RD, EVANSVILLE, IN 47711-4364
(812) 485-2580
(812) 485-2590
Mailing address
1202W BUENA VISTA RD 202, EVANSVILLE, IN 47710-5134
(812) 429-0721
(812) 429-1530
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71000491A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000234633
BCBS #
IN
05
—
200353310
—
IN
05
—
78006509
—
KY
Enumeration date
09/13/2006
Last updated
07/16/2015
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