Provider Demographics
NPI:1568173979
Name:GREIFER, JOANNE KATHLEEN (RN)
Entity Type:Individual
Prefix:
First Name:JOANNE
Middle Name:KATHLEEN
Last Name:GREIFER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:JOANNE
Other - Middle Name:KATHLEEN
Other - Last Name:BOLAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:41664 W AVELLA DR
Mailing Address - Street 2:
Mailing Address - City:MARICOPA
Mailing Address - State:AZ
Mailing Address - Zip Code:85138-3297
Mailing Address - Country:US
Mailing Address - Phone:480-213-8631
Mailing Address - Fax:
Practice Address - Street 1:45012 W HONEYCUTT AVE
Practice Address - Street 2:
Practice Address - City:MARICOPA
Practice Address - State:AZ
Practice Address - Zip Code:85139-2842
Practice Address - Country:US
Practice Address - Phone:520-568-4006
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-06
Last Update Date:2022-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN088630163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool