Provider Demographics
NPI:1508674912
Name:GREBE, YVONNE BETH (NURSE PRACTITIONER)
Entity type:Individual
Prefix:
First Name:YVONNE
Middle Name:BETH
Last Name:GREBE
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:YVONNE
Other - Middle Name:BETH
Other - Last Name:GREBE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NURSE PRACTITIONER
Mailing Address - Street 1:369 INDIAN LANE
Mailing Address - Street 2:P. O. BOX 223
Mailing Address - City:BOYERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19512-0223
Mailing Address - Country:US
Mailing Address - Phone:610-780-7496
Mailing Address - Fax:
Practice Address - Street 1:369 INDIAN LANE
Practice Address - Street 2:P. O. BOX 223
Practice Address - City:BOYERTOWN
Practice Address - State:PA
Practice Address - Zip Code:19512-0223
Practice Address - Country:US
Practice Address - Phone:610-780-7496
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-19
Last Update Date:2024-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP031550363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily