Healthcare Provider Details

I. General information

NPI: 1518381839
Provider Name (Legal Business Name): VERUSHKA GREER CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/06/2014
Last Update Date: 10/03/2024
Certification Date: 10/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

156 E 15TH AVE
GULF SHORES AL
36542-3516
US

IV. Provider business mailing address

156 E 15TH AVE
GULF SHORES AL
36542-3516
US

V. Phone/Fax

Practice location:
  • Phone: 251-948-4290
  • Fax: 251-948-7682
Mailing address:
  • Phone: 251-948-4290
  • Fax: 251-948-7682

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number1-098027
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: