Provider Demographics
NPI:1356857908
Name:GREGOR, BREE ANN (WHNP-BC)
Entity type:Individual
Prefix:
First Name:BREE
Middle Name:ANN
Last Name:GREGOR
Suffix:
Gender:F
Credentials:WHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1865 ROUTE 70 E STE 250
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003-2005
Mailing Address - Country:US
Mailing Address - Phone:856-772-3047
Mailing Address - Fax:856-772-6336
Practice Address - Street 1:1865 ROUTE 70 E STE 250
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08003-2005
Practice Address - Country:US
Practice Address - Phone:856-772-3047
Practice Address - Fax:856-772-6336
Is Sole Proprietor?:No
Enumeration Date:2017-12-19
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP020735363L00000X
NJ26NJ00791400363LP1700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP1700XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPerinatal
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner