Individual
MS. STACEY GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
81 MAKAWAO AVE STE 100, MAKAWAO, HI 96768-8859
(808) 573-8900
(808) 573-7505
Mailing address
81 MAKAWAO AVE STE 100, MAKAWAO, HI 96768-8859
(808) 573-8900
(808) 573-7505
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN2158
HI
363LF0000X
Family Nurse Practitioner
202004535NP-PP
OR
363LF0000X
Family Nurse Practitioner
AP61058632
WA
Other
Enumeration date
05/31/2012
Last updated
02/13/2026
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