Provider Demographics
NPI:1831992403
Name:GREAR, PRINCESS (AGACNP)
Entity type:Individual
Prefix:
First Name:PRINCESS
Middle Name:
Last Name:GREAR
Suffix:
Gender:
Credentials:AGACNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 CATO ST APT 1B
Mailing Address - Street 2:
Mailing Address - City:WOONSOCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02895-3074
Mailing Address - Country:US
Mailing Address - Phone:401-654-9724
Mailing Address - Fax:
Practice Address - Street 1:135 CATO ST APT 1B
Practice Address - Street 2:
Practice Address - City:WOONSOCKET
Practice Address - State:RI
Practice Address - Zip Code:02895-3074
Practice Address - Country:US
Practice Address - Phone:401-654-9724
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2347369363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care