Basic Information
Provider Information
NPI: 1174048854
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GREER
FirstName: ASHLEY
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: FNP
OtherOrganizationName:  
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Mailing Information
Address1: 1 EMBARCADERO CTR STE 1900
Address2:  
City: SAN FRANCISCO
State: CA
PostalCode: 941113723
CountryCode: US
TelephoneNumber: 4156586791
FaxNumber:  
Practice Location
Address1: 200 PARK AT NORTH HILLS ST STE 100
Address2:  
City: RALEIGH
State: NC
PostalCode: 276092658
CountryCode: US
TelephoneNumber: 8886636331
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/03/2017
LastUpdateDate: 08/09/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/09/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000X4704295851MIN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
363LF0000X5014540NCY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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