Healthcare Provider Details

I. General information

NPI: 1194183756
Provider Name (Legal Business Name): ASHLEY NICOLE GREINER ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/10/2016
Last Update Date: 04/17/2024
Certification Date: 04/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

503 3RD ST
KALONA IA
52247-9526
US

IV. Provider business mailing address

200 HAWKINS DR
IOWA CITY IA
52242-1009
US

V. Phone/Fax

Practice location:
  • Phone: 319-656-3151
  • Fax: 319-656-3319
Mailing address:
  • Phone: 319-656-3151
  • Fax: 319-656-3319

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberH137358
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: