Individual
GRETA BAKANOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
8200 MEADOWBRIDGE RD STE 100, MECHANICSVILLE, VA 23116-2337
(804) 559-7467
Mailing address
1115 BOULDERS PKWY STE 200, NORTH CHESTERFIELD, VA 23225-4067
(804) 915-4607
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024178628
VA
363L00000X
Nurse Practitioner
71007767A
IN
363LF0000X
Family Nurse Practitioner
Primary
3011745
KY
Other
Enumeration date
11/17/2017
Last updated
01/28/2026
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