Provider Demographics
NPI:1356631105
Name:GREINER, LINDA GAIL (PA-C)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:GAIL
Last Name:GREINER
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 1:820 N CHELAN AVE
Mailing Address - Street 2:
Mailing Address - City:WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98801-2028
Mailing Address - Country:US
Mailing Address - Phone:509-663-8711
Mailing Address - Fax:
Practice Address - Street 1:317 N MISSION ST STE 200
Practice Address - Street 2:
Practice Address - City:WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98801-2072
Practice Address - Country:US
Practice Address - Phone:509-663-8711
Practice Address - Fax:253-661-9077
Is Sole Proprietor?:No
Enumeration Date:2011-04-13
Last Update Date:2018-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPA60208333363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAG8927685OtherMEDICARE
WAG8927685OtherMEDICARE
WAG8927685Medicare PIN