Provider Demographics
NPI:1992801724
Name:GREANEY, SCOTT R (RN-C)
Entity type:Individual
Prefix:MR
First Name:SCOTT
Middle Name:R
Last Name:GREANEY
Suffix:
Gender:M
Credentials:RN-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:RR 2 BOX 980
Mailing Address - Street 2:MAIN STREET
Mailing Address - City:NORRIDGEWOCK
Mailing Address - State:ME
Mailing Address - Zip Code:04957-9608
Mailing Address - Country:US
Mailing Address - Phone:207-587-4062
Mailing Address - Fax:
Practice Address - Street 1:71 HOSPITAL ST
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:ME
Practice Address - Zip Code:04330-6617
Practice Address - Country:US
Practice Address - Phone:207-623-2279
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MER035471163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult