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Individual

KATHLEEN ANN GREGGERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
2 DUDLEY ST STE 470, PROVIDENCE, RI 02905-3248
(401) 553-8320
(401) 868-2322
Mailing address
PO BOX 16149, RUMFORD, RI 02916-0697
(401) 453-9625
(401) 435-7069

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN02860
RI
363LF0000X
Family Nurse Practitioner
RN2302730
MA

Other

Enumeration date
08/27/2021
Last updated
03/19/2025
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