Desirae Noelle Greathouse, LPN - Licensed Practical Nurse in Anmoore, WV

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.

Contact Information

Desirae Noelle Greathouse, LPN
67 Casino Dr, Suite 104,
Anmoore, WV 26323
(304) 622-1684
Not Available



Provider's Profile

Full NameDesirae Noelle Greathouse
GenderFemale
SpecialityLicensed Practical Nurse
Location67 Casino Dr, Anmoore, West Virginia
Accepts Medicare AssignmentsDoes 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.
IdentifierTypeStateIssuer
1609650316NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed 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 AddressPractice 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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› Verified 1 days ago


Licensed Practical Nurse Nurses in Anmoore, WV

Dominique S Hendricks,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 67 Casino Drive, Anmoore, WV 26323
Phone: 304-622-1684    Fax: 304-622-0810

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