Provider Demographics
NPI:1285617688
Name:GREER, DENISE S (CRNA)
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:S
Last Name:GREER
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:DENISE
Other - Middle Name:S
Other - Last Name:SIMMONS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2930 N STANTON ST
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-2511
Mailing Address - Country:US
Mailing Address - Phone:915-271-4569
Mailing Address - Fax:
Practice Address - Street 1:2930 N STANTON ST
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-2511
Practice Address - Country:US
Practice Address - Phone:915-271-4569
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-21
Last Update Date:2018-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX72613367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX84781UOtherBC/BS
TX174377501Medicaid
8844OUOtherBLUE CROSS
TX174377504Medicaid
8844OUOtherBLUE CROSS
TX84781UOtherBC/BS
8K2408Medicare PIN