MEDICARE: CATHERINE GREGG CRNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	SP020933	PA

General Provider Information

NPI Number	:	1043958374
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATHERINE GREGG CRNP

Provider Business Mailing Address
First Line	:	2901 HENDERSON RD
Second Line	:
City	:	WASHINGTON
State	:	PA
Zip	:	15301-8274
Country	:	US
Telephone Number	:	412-996-4903
Fax Number	:

Provider Business Practice Location Address
First Line	:	2589 WASHINGTON RD
Second Line	:
City	:	UPPER ST CLAIR
State	:	PA
Zip	:	15241-2566
Country	:	US
Telephone Number	:	412-595-7681
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/25/2022
Last Update Date	:	05/25/2022

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