Individual
BONNIE GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
50 MOISEY DRIVE, SUITE 202, HAZLETON, PA 18202-9297
(570) 501-6840
(570) 501-6916
Mailing address
PO BOX 1347, KINGSTON, PA 18704-0347
(570) 288-8881
(570) 288-8065
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP013165
PA
Other
Enumeration date
09/22/2013
Last updated
03/29/2014
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