Provider Demographics
NPI:1912505645
Name:GREGG, MARIA N
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:N
Last Name:GREGG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:322 N SHORE DR STE 200
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15212-5875
Mailing Address - Country:US
Mailing Address - Phone:412-770-3143
Mailing Address - Fax:412-770-3143
Practice Address - Street 1:302 MCKINLEY ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15210-3314
Practice Address - Country:US
Practice Address - Phone:412-304-3754
Practice Address - Fax:412-224-2478
Is Sole Proprietor?:No
Enumeration Date:2020-10-14
Last Update Date:2022-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide