Individual
MS. OLYMPIA DENISE GREGORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
108 NEW LONDON TPKE, NORWICH, CT 06360-2645
(860) 859-3612
(860) 859-3343
Mailing address
108 NEW LONDON TPKE, NORWICH, CT 06360-2645
(860) 859-3612
(860) 859-3343
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
000025
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004095677
—
CT
01
—
2731919
UNITED HEALTHCARE
CT
01
—
2V5102
HEALTHNET
CT
01
—
400000025CT04
BLUE CROSS BLUE SHIELD
CT
01
—
6431476
CIGNA
CT
01
—
7774815
AETNA
CT
01
—
9468073
PHCS
CT
01
—
P3755989
OXFORD
CT
Enumeration date
09/22/2006
Last updated
03/20/2019
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