DESIRAE NOELLE GREATHOUSE LPN
NPI 1609650316
Licensed Practical Nurse in Anmoore, WV

Q: What is Desirae Greathouse's NPI number?

The NPI number for Desirae Greathouse is 1609650316. It was assigned to this individual provider in the NPPES registry on August 23, 2023.

Q: What is Desirae Greathouse's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Active since August 23, 2023

67 CASINO DR, SUITE 104, ANMOORE, WV 26323(304) 622-1684 Get Directions Write a Review

NPPES record last updated: August 23, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Desirae Noelle Greathouse Lpn NPPES

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

DESIRAE NOELLE GREATHOUSE LPN (NPI 1609650316) is an individual licensed practical nurse in Anmoore, West Virginia, licensed in West Virginia (32238) and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1609650316

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameDESIRAE NOELLE GREATHOUSECredential: LPN

Location Address67 CASINO DR, SUITE 104Anmoore, WV 26323

Mailing Address67 Casino Dr, Suite 104Anmoore, WV 26323 · (304) 622-1684

Phone(304) 622-1684

Sole ProprietorNo

Enumeration DateAugust 23, 2023

NPPES CertifiedAugust 22, 2023

✔ NPI 1609650316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in WV · 32238

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

67 CASINO DR, Anmoore, WV 26323

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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 Desirae Greathouse's NPI number?

The NPI number for Desirae Greathouse is 1609650316. It was assigned to this individual provider in the NPPES registry on August 23, 2023.

Where is Desirae Greathouse located?

Desirae Greathouse practices at 67 Casino Dr Suite 104, Anmoore, WV 26323. The listed phone number is (304) 622-1684.

What is Desirae Greathouse's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Desirae Greathouse was last updated on August 23, 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.