Provider Demographics
NPI:1518108547
Name:GREER, TANYA B
Entity Type:Individual
Prefix:MRS
First Name:TANYA
Middle Name:B
Last Name:GREER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:556 VINITA AVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44320-1957
Mailing Address - Country:US
Mailing Address - Phone:330-867-1312
Mailing Address - Fax:330-867-1312
Practice Address - Street 1:556 VINITA AVE
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44320-1957
Practice Address - Country:US
Practice Address - Phone:330-867-1312
Practice Address - Fax:330-867-1312
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-21
Last Update Date:2009-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN133861-IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse