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Individual

STEPHANIE GREGORY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
1627 CHEW ST, ALLENTOWN, PA 18102-3648
(109) 693-3936
Mailing address
2100 MACK BLVD FL 4, ALLENTOWN, PA 18103-5622
(484) 884-4500

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP021677
PA
363LG0600X
Gerontology Nurse Practitioner
Primary
SP021677
PA

Other

Enumeration date
04/04/2020
Last updated
01/04/2021
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