Individual provider · Type 1 NPI
Penny D. Greaves, PMHNP-BC, FNP
Psychiatric/Mental Health Nurse Practitioner · San Diego, CA
NPI number
1710420807
Active
Practice location
438 Camino Del Rio S Ste 210
San Diego, CA 92108-3547
Fax (619) 324-7761
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN95110928 (CA) |
| Family Nurse Practitioner | 363LF0000X | NP95005526 (CA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 95005526 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1710420807
Penny D. Greaves, PMHNP-BC, FNP's National Provider Identifier is 1710420807, issued on Nov 22, 2016. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in San Diego, CA. The record was last updated on Jan 19, 2025.