Provider Demographics
NPI:1053389759
Name:GREGORY, KAREN M (APRN BC)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:M
Last Name:GREGORY
Suffix:
Gender:F
Credentials:APRN BC
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Mailing Address - Street 1:1008 S SPRING AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63110-2520
Mailing Address - Country:US
Mailing Address - Phone:314-977-4730
Mailing Address - Fax:314-977-1642
Practice Address - Street 1:1034 S BRENTWOOD BLVD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63117-1223
Practice Address - Country:US
Practice Address - Phone:314-779-4730
Practice Address - Fax:314-977-4612
Is Sole Proprietor?:No
Enumeration Date:2006-03-09
Last Update Date:2021-03-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MORN121169364SM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SM0705XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistMedical-Surgical