Doctor Name: | TORISHIA GREVING |
NPI Number: | 1124492491 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, MSN, FNP-C |
License Number: | 2015040600 |
Business Practice Address: | 5985 Hospital Dr Hannibal, MO - 634016886 |
Business Phone Number: | 5734065800 |
Business Fax Number: | 5734065860 |
Mailing Address: | 100 Medical Dr, Po Box 311 HANNIBAL |
State: | MO |
Postal Code: | 634016877 |
Phone Number: | 5732215250 |
Fax Number: | 5732313824 |
NPI Enumeration Date: | 11/23/2015 |
NPI Last Update Date: | 11/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 2015040600 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |