Provider Demographics
NPI:1659445146
Name:GREER, ROXANNA (ACUTE CARE NP)
Entity Type:Individual
Prefix:
First Name:ROXANNA
Middle Name:
Last Name:GREER
Suffix:
Gender:F
Credentials:ACUTE CARE NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8100 LENA AVE
Mailing Address - Street 2:
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91304
Mailing Address - Country:US
Mailing Address - Phone:818-448-0802
Mailing Address - Fax:
Practice Address - Street 1:OLIVE VIEW UCLA MED CTR
Practice Address - Street 2:14445 OLIVE VIEW DRIVE
Practice Address - City:SYLMAR
Practice Address - State:CA
Practice Address - Zip Code:91342
Practice Address - Country:US
Practice Address - Phone:818-364-4350
Practice Address - Fax:818-364-4775
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP16029363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner