Healthcare Provider Details

I. General information

NPI: 1982848677
Provider Name (Legal Business Name): LINDSAY E. GRECO ACNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2009
Last Update Date: 10/15/2025
Certification Date: 10/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

909 ROSEDALE RD NE
ATLANTA GA
30306-4827
US

IV. Provider business mailing address

909 ROSEDALE RD NE UNIT A14
ATLANTA GA
30306-4827
US

V. Phone/Fax

Practice location:
  • Phone: 215-620-4259
  • Fax:
Mailing address:
  • Phone: 215-620-4259
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LC0200X
TaxonomyCritical Care Medicine Nurse Practitioner
License NumberRN189878
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: