Penny Kaye Grechus, MSN, RN, PMHNP-BC
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Potosi, MO
NPI 1124648423 · NPPES record last updated Apr 16, 2020
Key facts
- NPI
- 1124648423
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 089120 (MO)
- Practice address
- 1 Southtowne Dr
Potosi, MO 63664-5729 - Phone
- (573) 438-7892
- NPI assigned
- Apr 16, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 089120 | MO | MD | Psychiatric/Mental Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 089120 | MO | Yes |
Addresses
Primary practice location
1 Southtowne Dr
Potosi, MO 63664-5729
Mailing address
1298 Windcrest Cir
Arnold, MO 63010-6405
Phone (573) 631-6399
Other providers in Potosi, MO
- Allie Reshea Golden
- Gordon Goldman MD LLC
- Terra Renee Graves
- Kristie Lynn Gray
- Great Mines Health Center
- Greenlee Chiropractic Inc.
- Gary Lynn Greenlee Jr.
- Steven John Grouse
- Terry Guiley
- Carolina Guillen del Castillo
All providers in Potosi, MO · Psychiatric/Mental Health Nurse Practitioner in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 16, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.