Provider Demographics
NPI:1427773738
Name:GREER, DENISE Y (RN)
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:Y
Last Name:GREER
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 1:1150 EWING ST APT 302
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46802-3367
Mailing Address - Country:US
Mailing Address - Phone:260-348-8687
Mailing Address - Fax:
Practice Address - Street 1:1150 EWING ST APT 302
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46802-3367
Practice Address - Country:US
Practice Address - Phone:260-348-8687
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-10
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28231301C207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical OncologyGroup - Single Specialty