MEDICARE: ANNA GRACE GREENHO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	278287	SC

General Provider Information

NPI Number	:	1619821246
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNA GRACE GREENHO

Provider Business Mailing Address
First Line	:	403 SPARTINA LN
Second Line	:
City	:	DANIEL ISLAND
State	:	SC
Zip	:	29492-8798
Country	:	US
Telephone Number	:	843-277-5143
Fax Number	:

Provider Business Practice Location Address
First Line	:	403 SPARTINA LN
Second Line	:
City	:	DANIEL ISLAND
State	:	SC
Zip	:	29492-8798
Country	:	US
Telephone Number	:	843-277-5143
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/23/2026
Last Update Date	:	02/23/2026

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Directions to “ ANNA GRACE GREENHO ” Practice Location

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