Provider Demographics
NPI:1649570854
Name:GREGOROVIC, KELLEY SWEENEY (RN, MSN, FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:KELLEY
Middle Name:SWEENEY
Last Name:GREGOROVIC
Suffix:
Gender:F
Credentials:RN, MSN, FNP-BC
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Mailing Address - Street 1:30 NEW CROSSING RD STE 200
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:MA
Mailing Address - Zip Code:01867-3271
Mailing Address - Country:US
Mailing Address - Phone:781-213-5150
Mailing Address - Fax:781-213-5155
Practice Address - Street 1:30 NEW CROSSING RD STE 200
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:MA
Practice Address - Zip Code:01867-3271
Practice Address - Country:US
Practice Address - Phone:781-213-5150
Practice Address - Fax:781-213-5155
Is Sole Proprietor?:No
Enumeration Date:2010-10-22
Last Update Date:2021-04-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MARN236050363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily