| Mr Danial Jonathan Greathouse, FNP | |
|
3820 Gregg Way Unit D, Cheyenne, WY 82009-5467 | |
| (307) 640-0783 | |
| Not Available |
| Full Name | Mr Danial Jonathan Greathouse |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 3820 Gregg Way Unit D, Cheyenne, Wyoming |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558070136 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 49897 (Wyoming) | Primary |
| Entity Name | Gold Diagnostics Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346824554 PECOS PAC ID: 2961802699 Enrollment ID: O20240826001069 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Danial Jonathan Greathouse, FNP 3820 Gregg Way Unit D, Cheyenne, WY 82009-5467 Ph: (307) 640-0783 | Mr Danial Jonathan Greathouse, FNP 3820 Gregg Way Unit D, Cheyenne, WY 82009-5467 Ph: (307) 640-0783 |
Christy Marie Burd, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2029 Bluegrass Cir Ste 200, Cheyenne, WY 82009 Phone: 307-638-8975 | |
Mrs. Diane E Hattel, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3235 Sparks Rd, Suite 200, Cheyenne, WY 82001 Phone: 307-638-8975 Fax: 307-634-9267 | |
Penny Marie Sanderson, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 Dell Range Blvd, Cheyenne, WY 82009 Phone: 307-630-4729 Fax: 307-632-3298 | |
Julian Good, FNP, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 510 W 29th St, Cheyenne, WY 82001 Phone: 330-763-2936 Fax: 307-637-6852 | |
Daniel Taylor West, AGNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 214 E 23rd St, Cheyenne, WY 82001 Phone: 307-634-2273 | |
Jannene Sneddon Sebesta, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 214 E 23rd St, Cheyenne, WY 82001 Phone: 307-633-7952 Fax: 307-633-7018 | |
Megan Lynn Bade, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 611 E Carlson St Ste 102, Cheyenne, WY 82009 Phone: 307-316-5026 |