Healthcare Provider Details

I. General information

NPI: 1659237360
Provider Name (Legal Business Name): MS. KARINA MARY GREGOIRE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/27/2025
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

344 THOMPSON RD FL 1
WEBSTER MA
01570-1509
US

IV. Provider business mailing address

PO BOX 16
QUINEBAUG CT
06262-0016
US

V. Phone/Fax

Practice location:
  • Phone: 508-765-3093
  • Fax: 508-765-3047
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN2314170
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: