Individual
ELLIS KATHRYN GREER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, WHNP-BC
Contact information
Practice address
3200 NORTHLINE AVE STE 130, GREENSBORO, NC 27408-7600
(336) 286-6565
Mailing address
195 RICHARD WAY, ATHENS, GA 30605-4422
(706) 340-5652
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
501163
NC
367A00000X
Advanced Practice Midwife
000719
NC
367A00000X
Advanced Practice Midwife
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000719
NORTH CAROLINA BOARD OF NURSING
NC
01
—
104606315
NATIONAL CERTIFICATION CORPORATION
—
01
—
501163
NORTH CAROLINA BOARD OF NURSING
NC
01
—
CNM05164
AMERICAN MIDWIFERY CERTIFICATION BOARD
—
Enumeration date
02/08/2019
Last updated
04/17/2019
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