Greta Marie Degen Pursley, AP, RN, PHD
Individual provider Active NPI Acupuncturist · Hawthorne, FL
NPI 1548086598 · NPPES record last updated Nov 25, 2024
Key facts
- NPI
- 1548086598
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- License
- AP4584 (FL)
- Practice address
- 215 Star Lake Dr
Hawthorne, FL 32640-6312 - Phone
- (515) 508-9325
- NPI assigned
- Nov 25, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP4584 | FL | MD | Acupuncturist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AP4584 | FL | Yes |
Addresses
Primary practice location
215 Star Lake Dr
Hawthorne, FL 32640-6312
Mailing address
215 Star Lake Dr
Hawthorne, FL 32640-6312
Phone (515) 508-9325
Other providers in Hawthorne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 25, 2024. 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.