Joel Paul Enrico Greco, MSN, CPNP-PC
Nurse Practitioner, Pediatrics in Troy, MI. Individual provider (NPI-1).
NPI number1285296970
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1285296970
- Entity type
- Individual (NPI-1)
- Name
- Joel Paul Enrico Greco
- Credential
- MSN, CPNP-PC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 2, 2019
- Certification date
- Jul 21, 2022
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | 4704329723 | MI | Yes |
Practice location
1777 Axtell Dr Ste 202Troy, MI 48084-4435
Phone 248-594-3142
Mailing address
26901 Beaumont Blvd Ste 3dSouthfield, MI 48033-3849
Other practice locations
120 Waterstradt Commerce Dr
Dundee, MI 48131-9681
Dundee, MI 48131-9681
Phone 734-823-5437
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