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LYSA GREENIDGE REGISTERED NURSE
NPI 1255111977
Registered Nurse - Critical Care Medicine in Detroit, MI

Active since October 02, 2023
4646 JOHN R ST, DETROIT, MI 48201(313) 576-6340 Get Directions Write a Review

NPPES record last updated: October 2, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lysa Greenidge Registered Nurse NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LYSA GREENIDGE REGISTERED NURSE (NPI 1255111977) is an individual critical care medicine provider in Detroit, Michigan, licensed in Michigan (4704279379) and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1255111977
Entity TypeIndividualFemale
Primary Taxonomy163WC0200X
Provider Legal NameLYSA GREENIDGECredential: REGISTERED NURSE
Location Address4646 JOHN R STDetroit, MI 48201-1916
Mailing Address6444 Huron StTaylor, MI 48180-1951 · (248) 469-7028
Phone(313) 576-6340
Sole ProprietorNo
Enumeration DateOctober 2, 2023
NPPES CertifiedSeptember 30, 2023
✔ NPI 1255111977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Critical Care MedicineNursing Service Providers
Taxonomy Code163WC0200X
License✔ Licensed in MI · 4704279379
4646 JOHN R ST, Detroit, MI 48201
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. YURIJ CHERSTYLO
Student in an Organized Health Care Education/Training Program
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1000
NAVITHA LONAPPAN
Registered Nurse (Medical-Surgical)
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1000
SHARI KABETH RN
Registered Nurse (Gastroenterology)
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1000
DEREK CURTIS THAMARUS
Registered Nurse
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1294
MOLLY GEORGE
Registered Nurse
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1316
EDWIN RAYMOND MILLER
Registered Nurse
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1000
MR. EDWIN INTIG LOON JR.
Licensed Practical Nurse
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1000
ASHLEY NICOLE DANIELS MDIV
Religious Nonmedical Practitioner
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lysa Greenidge's NPI number?

The NPI number for Lysa Greenidge is 1255111977. It was assigned to this individual provider in the NPPES registry on October 2, 2023.

Where is Lysa Greenidge located?

Lysa Greenidge practices at 4646 John R St, Detroit, MI 48201. The listed phone number is (313) 576-6340.

What is Lysa Greenidge's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Critical Care Medicine, with taxonomy code 163WC0200X.

When was this NPI record last updated?

The NPPES record for Lysa Greenidge was last updated on October 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.