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Individual

ALISSA GREGERSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AG-ACNP

Contact information

Practice address
149 NORTH ST, WATERVILLE, ME 04901-4974
(207) 872-1307
(207) 872-1302
Mailing address
149 NORTH ST, WATERVILLE, ME 04901-4974
(207) 872-1307
(207) 872-1302

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP251909
ME
363L00000X
Nurse Practitioner
LP-0000239
DE
363LG0600X
Gerontology Nurse Practitioner
LP-0000239
DE

Other

Enumeration date
02/16/2018
Last updated
05/27/2026
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