Provider Demographics
NPI:1982440764
Name:GREER, ALYSSA KATHLEEN (PA-C)
Entity type:Individual
Prefix:
First Name:ALYSSA
Middle Name:KATHLEEN
Last Name:GREER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1653 WESTGATE DR APT 103
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17408-6330
Mailing Address - Country:US
Mailing Address - Phone:724-900-8635
Mailing Address - Fax:
Practice Address - Street 1:22 ROTH CHURCH RD
Practice Address - Street 2:
Practice Address - City:SPRING GROVE
Practice Address - State:PA
Practice Address - Zip Code:17362-1406
Practice Address - Country:US
Practice Address - Phone:717-757-3400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-02
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA065688363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical