Provider Demographics
NPI:1518764562
Name:GREGER, ELIZABETH
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:GREGER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 284
Mailing Address - Street 2:
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:NE
Mailing Address - Zip Code:68627-0284
Mailing Address - Country:US
Mailing Address - Phone:308-550-0484
Mailing Address - Fax:
Practice Address - Street 1:111 N 3RD ST
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:NE
Practice Address - Zip Code:68627-5040
Practice Address - Country:US
Practice Address - Phone:308-550-0484
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-27
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE3747P1801X, 372500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No372500000XNursing Service Related ProvidersChore Provider