Individual
MRS. EVELYN MARY GREGSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
38 OAKES AVE, SOUTHBRIDGE, MA 01550-4012
(508) 765-9522
(508) 764-7870
Mailing address
38 OAKES AVENUE, SOUTHBRIDGE, MA 01550-4012
(508) 765-9522
(508) 764-7870
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
111473
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51977
FALLON COMMUNITY HEALTHCA
MA
Enumeration date
09/07/2006
Last updated
07/09/2007
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