Healthcare Provider Details

I. General information

NPI: 1659298164
Provider Name (Legal Business Name): PAIGE GREINER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/04/2026
Last Update Date: 07/04/2026
Certification Date: 07/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6925 19TH ST APT 11
GREELEY CO
80634-7951
US

IV. Provider business mailing address

6925 19TH ST APT 11
GREELEY CO
80634-7951
US

V. Phone/Fax

Practice location:
  • Phone: 970-405-4230
  • Fax:
Mailing address:
  • Phone: 970-405-4230
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WD0400X
TaxonomyDiabetes Educator Registered Nurse
License NumberRN.1662680
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: