Provider Demographics
NPI:1477733483
Name:GREISCH, LAURIE ELLEANORE (DNP, PMHNP, FNP)
Entity type:Individual
Prefix:
First Name:LAURIE
Middle Name:ELLEANORE
Last Name:GREISCH
Suffix:
Gender:F
Credentials:DNP, PMHNP, FNP
Other - Prefix:
Other - First Name:LAURIE
Other - Middle Name:ELLEANORE
Other - Last Name:ARSENAKOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:331 NEWMAN SPRINGS ROAD
Mailing Address - Street 2:BUILDING 1 , 4TH FLOOR, SUITE 143
Mailing Address - City:RED BANK
Mailing Address - State:NJ
Mailing Address - Zip Code:07701
Mailing Address - Country:US
Mailing Address - Phone:732-934-6463
Mailing Address - Fax:732-913-1530
Practice Address - Street 1:331 NEWMAN SPRINGS ROAD
Practice Address - Street 2:BLDG 1, 4TH FLOOR, SUITE143
Practice Address - City:RED BANK
Practice Address - State:NJ
Practice Address - Zip Code:07701
Practice Address - Country:US
Practice Address - Phone:732-380-0200
Practice Address - Fax:732-380-0124
Is Sole Proprietor?:No
Enumeration Date:2007-11-07
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00145400363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily