Individual
MRS. MARCY J GREGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
504 N. CLEVELAND ST., MOUNT AYR, IA 50854-2201
(641) 464-3226
(641) 464-4420
Mailing address
504 N. CLEVELAND ST., MOUNT AYR, IA 50854-2201
(641) 464-3226
(641) 464-4420
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A073758
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0219451
—
IA
01
—
06878
BLUE CROSS
IA
01
—
13590
MIDLAND CHOICE
IA
05
—
42510703
—
MO
05
—
500013821
—
IA
01
—
IA0112
JOHN DEERE
IA
Enumeration date
01/12/2007
Last updated
11/23/2009
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