Provider Demographics
NPI:1437165388
Name:GREER, VANESSA R (NP)
Entity Type:Individual
Prefix:MRS
First Name:VANESSA
Middle Name:R
Last Name:GREER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:VANESSA
Other - Middle Name:R
Other - Last Name:ALVARADO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:2615 E CLINTON AVE
Mailing Address - Street 2:MEDICAL SERVICE (111)
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93703-2223
Mailing Address - Country:US
Mailing Address - Phone:559-228-5327
Mailing Address - Fax:559-241-6484
Practice Address - Street 1:2615 E CLINTON AVE
Practice Address - Street 2:MEDICAL SERVICE (111)
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93703-2223
Practice Address - Country:US
Practice Address - Phone:559-228-5327
Practice Address - Fax:559-241-6484
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA302123363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care