Emily Gregor, RN

Individual provider Active NPI Community Health Registered Nurse · Wildwood, MO

NPI 1427645944 · NPPES record last updated Dec 30, 2020

Key facts

NPI
1427645944
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Registered Nurse 163WC1500X
License
2017043831 (MO)
Practice address
1751 Wild Horse Creek Rd
Wildwood, MO 63005-6118
Phone
(314) 583-7892
NPI assigned
Dec 30, 2020
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
2017043831MOMDCommunity Health Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X 2017043831 MO Yes

Addresses

Primary practice location

1751 Wild Horse Creek Rd
Wildwood, MO 63005-6118

Mailing address

1751 Wild Horse Creek Rd
Wildwood, MO 63005-6118
Phone (314) 583-7892

Other providers in Wildwood, MO

All providers in Wildwood, MO · Community Health Registered Nurse in Missouri

Sources for this page

Verify at the official NPI Registry.