Provider Demographics
NPI:1407872054
Name:GREER, PAULA JEAN (CNM,MS)
Entity Type:Individual
Prefix:MRS
First Name:PAULA
Middle Name:JEAN
Last Name:GREER
Suffix:
Gender:F
Credentials:CNM,MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7556 TEAGUE RD
Mailing Address - Street 2:BALT WASH WOMENS HEALTH ASSOCIATES, SUITE 430
Mailing Address - City:HANOVER
Mailing Address - State:MD
Mailing Address - Zip Code:21076-1213
Mailing Address - Country:US
Mailing Address - Phone:410-553-8260
Mailing Address - Fax:410-553-8261
Practice Address - Street 1:300 HOSPITAL DR STE 226
Practice Address - Street 2:
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-5707
Practice Address - Country:US
Practice Address - Phone:410-553-8540
Practice Address - Fax:410-553-8546
Is Sole Proprietor?:No
Enumeration Date:2006-07-15
Last Update Date:2020-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR072449176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDS63348Medicare UPIN