Provider Demographics
NPI:1679270383
Name:GREER, ANITRA CRONIN
Entity type:Individual
Prefix:
First Name:ANITRA
Middle Name:CRONIN
Last Name:GREER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ANITRA
Other - Middle Name:ELIZABETH
Other - Last Name:CRONIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1608 VILLAGE CT APT 2
Mailing Address - Street 2:
Mailing Address - City:NORTH MANKATO
Mailing Address - State:MN
Mailing Address - Zip Code:56003-2618
Mailing Address - Country:US
Mailing Address - Phone:651-468-8221
Mailing Address - Fax:
Practice Address - Street 1:1720 BASSETT DR
Practice Address - Street 2:
Practice Address - City:MANKATO
Practice Address - State:MN
Practice Address - Zip Code:56001-6569
Practice Address - Country:US
Practice Address - Phone:507-565-0150
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-13
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician