Mrs. Shannon Marie Greaker
Nurse Practitioner - Primary Care
2050 Kenny Rd Ste 2500
Columbus
, Ohio 43221-3502
Mrs. Shannon Marie Greaker
Nurse Practitioner - Primary Care
2050 Kenny Rd Ste 2500
Columbus
, Ohio 43221-3502
(614) 293-4030
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About
Features
Specialties
- Nurse Practitioner - Primary Care
Languages spoken
- English
Location
First Address
- Mrs. Shannon Marie Greaker
- 700 Ackerman Rd Ste 570
- Columbus, OH
- Zip : 43202-1579
- Fax : (614) 293-4030
- Phone : (614) 366-6675
Second Address
- Mrs. Shannon Marie Greaker
- 2050 Kenny Rd Ste 2500
- Columbus, OH
- Zip : 43221-3502
- Fax : (614) 366-8166
- Phone : (614) 366-6675
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP2300X | Nurse Practitioner - Primary Care | APRN.CNP.14768 | OH |
National Provider Identifier
| NPI | 1053757971 |
|---|---|
| Provider Name | Mrs. Shannon Marie Greaker |
| First Address | Columbus, OH 43202-1579 |
| Second Address | Columbus, OH 43221-3502 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/05/2013 |
| Last Update Date | 12/04/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0099664 | (05) | OH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.