Healthcare Provider Details

I. General information

NPI: 1538070214
Provider Name (Legal Business Name): AMANDA GREER RN, BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4775 KNIGHTSBRIDGE BLVD
COLUMBUS OH
43214-4313
US

IV. Provider business mailing address

4775 KNIGHTSBRIDGE BLVD
COLUMBUS OH
43214-4313
US

V. Phone/Fax

Practice location:
  • Phone: 614-442-5557
  • Fax: 614-442-1070
Mailing address:
  • Phone: 614-442-5557
  • Fax: 614-442-1070

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License NumberRN.335201
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: