Individual provider · Type 1 NPI
Stacey Beth Gregory
Psychiatric/Mental Health Nurse Practitioner · Glendale, AZ
NPI number
1093760167
Active
Practice location
5701 W Talavi Blvd, Suite 180
Glendale, AZ 85306-1886
Fax (623) 486-2739
Mailing address
4747 N 7th St, Suite 100
Phoenix, AZ 85014-3653
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | SP009026 (PA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | AP3709 (AZ) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 400916 (NY) |
| Adult Health Nurse Practitioner | 363LA2200X | 304376 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1093760167
Stacey Beth Gregory's National Provider Identifier is 1093760167, issued on May 24, 2006. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Glendale, AZ. The record was last updated on Nov 8, 2012.