Healthcare Provider Details

I. General information

NPI: 1568379089
Provider Name (Legal Business Name): HANNAH NICOLE GREER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

927 N MAIN ST
MARION VA
24354-4117
US

IV. Provider business mailing address

1077 HORSESHOE BEND RD
CHILHOWIE VA
24319-5440
US

V. Phone/Fax

Practice location:
  • Phone: 276-783-7529
  • Fax: 276-783-7555
Mailing address:
  • Phone: 276-685-6261
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number0131002777
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: