Provider Demographics
NPI:1942809280
Name:GREIM, PATRICIA SPANGLER (PMHNP-BC)
Entity type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:SPANGLER
Last Name:GREIM
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:MS
Other - First Name:PATRICIA
Other - Middle Name:
Other - Last Name:GREIM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:721 4TH AVE UNIT 2283
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98033-9997
Mailing Address - Country:US
Mailing Address - Phone:727-501-4217
Mailing Address - Fax:425-974-0518
Practice Address - Street 1:12220 113TH AVE NE STE 210
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-6950
Practice Address - Country:US
Practice Address - Phone:727-501-4217
Practice Address - Fax:425-974-0518
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-19
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP61259404363LP0808X
IN71011269B363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health