Individual
DWIGHT GREATHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN-CRNA
Contact information
Practice address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 853-0222
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024194396
VA
367500000X
Certified Registered Nurse Anesthetist
82465
WV
Other
Enumeration date
04/05/2022
Last updated
11/06/2025
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