Individual
ALISSA GREGERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AG-ACNP
Contact information
Practice address
640 S STATE ST, DOVER, DE 19901-3530
(302) 674-4700
Mailing address
640 S STATE ST, MAIL CODE 3055, DOVER, DE 19901-3530
(302) 480-1688
(302) 480-9807
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
LP-0000239
DE
363LG0600X
Gerontology Nurse Practitioner
LP-0000239
DE
Other
Enumeration date
02/16/2018
Last updated
12/18/2020
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