Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TYSON DARRELL GREENER, PA-C
Active Sole ProprietorTYSON DARRELL GREENER, PA-C is a Surgical Physician Assistant healthcare provider located in BURLEY, Idaho. NPI 1356123863 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · BURLEY, ID
Registration Details
- NPI Number
- 1356123863
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 18, 2023 (2.8175250902187 yrs)
- Last Updated
- Feb 7, 2025
- License
-
6571244 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
260 E 5TH ST NBURLEY, ID, 833183453Browse ID providers · Browse ZIP 83318
- Phone
- 2086789760
- Fax
- 2086789758
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Physician Assistant
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.