MEDICARE: MS. JULIANNA GRECOE APRN, BC

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	163WP0809X	Adult Psychiatric/Mental Health Registered Nurse	92657	MA

General Provider Information

NPI Number	:	1174500706
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JULIANNA GRECOE APRN, BC

Provider Business Mailing Address
First Line	:	182 ATLANTIC ST
Second Line	:
City	:	GLOUCESTER
State	:	MA
Zip	:	01930-1633
Country	:	US
Telephone Number	:	978-283-3727
Fax Number	:

Provider Business Practice Location Address
First Line	:	352 PARK ST
Second Line	:	STE 208W
City	:	NORTH READING
State	:	MA
Zip	:	01864-2164
Country	:	US
Telephone Number	:	978-470-0520
Fax Number	:	978-475-1181

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

Provider Enumeration Date	:	12/23/2005
Last Update Date	:	01/04/2017

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