Individual
CAROLYN CAMILLE MCGREGOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10 GOVE ST, EAST BOSTON, MA 02128-1920
(617) 569-5800
(617) 568-4780
Mailing address
590 COUNTRY CLUB PKWY, STE A, EUGENE, OR 97401-6025
(617) 569-5800
(617) 568-4780
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
202000082NP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0715948
—
MA
Enumeration date
09/18/2007
Last updated
11/16/2020
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