Provider Demographics
NPI:1336589720
Name:GREIST-JOEL, MARTHA LOIS (RN)
Entity Type:Individual
Prefix:MS
First Name:MARTHA
Middle Name:LOIS
Last Name:GREIST-JOEL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7000 EAST AVE
Mailing Address - Street 2:
Mailing Address - City:LIVERMORE
Mailing Address - State:CA
Mailing Address - Zip Code:94550-9698
Mailing Address - Country:US
Mailing Address - Phone:925-422-2475
Mailing Address - Fax:
Practice Address - Street 1:7000 EAST AVE
Practice Address - Street 2:
Practice Address - City:LIVERMORE
Practice Address - State:CA
Practice Address - Zip Code:94550-9698
Practice Address - Country:US
Practice Address - Phone:925-422-2475
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-28
Last Update Date:2013-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA270031163WX0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX0106XNursing Service ProvidersRegistered NurseOccupational Health