Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | SP025277 | PA |
NPI | 1003569187 |
---|---|
Provider Name | Cary Anne Gregor |
First Address | Pittsburgh, PA 15203-1263 |
Second Address | Pittsburgh, PA 15203-1263 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2022 |
Last Update Date | 30/01/2022 |