Individual
MRS. IRIS A GRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
57 DEER RUN RD, KINGSTON, NY 12401-6919
(845) 336-7427
Mailing address
57 DEER RUN RD, KINGSTON, NY 12401-6919
(845) 416-7160
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
494611-1
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F402135-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04706158
—
NY
Enumeration date
10/08/2010
Last updated
08/05/2021
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