Provider Demographics
NPI:1073075354
Name:MACGREGOR, BARBARA R (RN)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:R
Last Name:MACGREGOR
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1094 ROUTE 2
Mailing Address - Street 2:
Mailing Address - City:RUMFORD
Mailing Address - State:ME
Mailing Address - Zip Code:04276-3624
Mailing Address - Country:US
Mailing Address - Phone:207-418-1549
Mailing Address - Fax:
Practice Address - Street 1:1094 ROUTE 2
Practice Address - Street 2:MAINE
Practice Address - City:RUMFORD
Practice Address - State:ME
Practice Address - Zip Code:04276-2436
Practice Address - Country:US
Practice Address - Phone:207-418-1936
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-04
Last Update Date:2019-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MERN29756163WH1000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No163WH1000XNursing Service ProvidersRegistered NurseHospice