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NPI Code Detail

MEDICARE: MS. BARBARA ROSE GREGORY FNP

MEDICARE: MS. BARBARA ROSE GREGORY FNP
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 Practitioner7748CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1154304814
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. BARBARA ROSE GREGORY FNP
Provider Business Mailing Address
First Line : PO BOX 511250
Second Line :
City : LOS ANGELES
State : CA
Zip : 90051-7805
Country : US
Telephone Number : 510-929-1400
Fax Number : 510-929-1414
Provider Business Practice Location Address
First Line : 1144 65TH ST STE F
Second Line :
City : OAKLAND
State : CA
Zip : 94608-1053
Country : US
Telephone Number : 510-929-1400
Fax Number : 510-929-1414
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/26/2005
Last Update Date : 01/29/2024

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