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NPI Code Detail

MEDICARE: GREGORY NEAL CAGLE CRNP

MEDICARE:   GREGORY NEAL CAGLE  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
1363LF0000XFamily Nurse Practitioner1-088261AL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
151533420OTHERALBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1073500302
Entity Type Code : Individual
Provider Name (Legal Business Name) : GREGORY NEAL CAGLE CRNP
Provider Business Mailing Address
First Line : 500 SW 7TH ST STE A205
Second Line :
City : RENTON
State : WA
Zip : 98057-2983
Country : US
Telephone Number : 877-522-1275
Fax Number : 509-491-3031
Provider Business Practice Location Address
First Line : 2421 E TUDOR RD STE 108
Second Line :
City : ANCHORAGE
State : AK
Zip : 99507-1166
Country : US
Telephone Number : 877-522-1275
Fax Number : 833-888-7145
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2005
Last Update Date : 03/11/2025

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Directions to “ GREGORY NEAL CAGLE CRNP” Practice Location

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