Desirae Noelle Greathouse, LPN is a
Licensed Practical Nurse based in Anmoore, West Virginia. Desirae Noelle Greathouse is licensed to practice in West Virginia (license number 32238) and her current practice location is
67 Casino Dr, Suite 104, Anmoore, West Virginia. She can be reached at her office (for appointments etc.) via phone at
(304) 622-1684.
NPI number for Desirae Noelle Greathouse is 1609650316 and her current mailing address is 67 Casino Dr, Suite 104, Anmoore, West Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1609650316.
Provider's Profile
Full Name | Desirae Noelle Greathouse |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 67 Casino Dr, Anmoore, West Virginia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1609650316
- Provider Enumeration Date: 08/23/2023
- Last Update Date: 08/23/2023
Medical Identifiers
Medical identifiers for Desirae Noelle Greathouse such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1609650316 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 32238 (West Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Desirae Noelle Greathouse is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Desirae Noelle Greathouse, LPN 67 Casino Dr, Suite 104, Anmoore, WV 26323 Ph: (304) 622-1684 | Desirae Noelle Greathouse, LPN 67 Casino Dr, Suite 104, Anmoore, WV 26323 Ph: (304) 622-1684 |
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