Provider Demographics
NPI:1881796928
Name:GREINERT, NANCY L (MS)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:L
Last Name:GREINERT
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2218 CASCADE CT
Mailing Address - Street 2:
Mailing Address - City:ANACORTES
Mailing Address - State:WA
Mailing Address - Zip Code:98221-7403
Mailing Address - Country:US
Mailing Address - Phone:360-293-0150
Mailing Address - Fax:509-228-9542
Practice Address - Street 1:2218 CASCADE CT
Practice Address - Street 2:
Practice Address - City:ANACORTES
Practice Address - State:WA
Practice Address - Zip Code:98221-7403
Practice Address - Country:US
Practice Address - Phone:360-293-0150
Practice Address - Fax:509-228-9542
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2008-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF00001164106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist