Provider Demographics
NPI:1710427653
Name:GREENE, DARNIESHA (NP-C)
Entity Type:Individual
Prefix:PROF
First Name:DARNIESHA
Middle Name:
Last Name:GREENE
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:MRS
Other - First Name:DARNIESHA
Other - Middle Name:
Other - Last Name:GREENE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DARNIESHA GREENE NP
Mailing Address - Street 1:188 ONVILLE RD
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:VA
Mailing Address - Zip Code:22556-3805
Mailing Address - Country:US
Mailing Address - Phone:540-779-1648
Mailing Address - Fax:540-602-7062
Practice Address - Street 1:188 ONVILLE RD
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:VA
Practice Address - Zip Code:22556-3805
Practice Address - Country:US
Practice Address - Phone:540-779-1648
Practice Address - Fax:540-602-7062
Is Sole Proprietor?:No
Enumeration Date:2017-02-25
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024174602363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily