Individual
MEEGAN RYAN GREGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
940 DISC DR, SCOTTS VALLEY, CA 95066-4544
(831) 430-3000
Mailing address
611A BAYVIEW DR, APTOS, CA 95003-5303
(831) 277-9759
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
783783
CA
363LG0600X
Gerontology Nurse Practitioner
Primary
22176
CA
Other
Enumeration date
07/07/2015
Last updated
07/07/2015
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