Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lysa Greenidge, REGISTEREDNURSE

Individual provider Critical Care Medicine Registered Nurse · NPI 1255111977

Lysa Greenidge, REGISTEREDNURSE is a Critical Care Medicine Registered Nurse in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2023.

Licensed in
MI
In the registry since
2023

Practice location Address checks out

4646 John R St
Detroit, MI 48201-1916
Phone: (313) 576-6340
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Critical Care Medicine Registered Nurse (primary) Taxonomy 163WC0200X · Licence 4704279379 (MI)

Record details

NPI number1255111977
Entity typeIndividual (Type 1)
GenderFemale
Credentials REGISTEREDNURSE
Sole proprietorNo
NPI enumeratedOctober 2, 2023
Last updated in NPPESOctober 2, 2023
Certification dateSeptember 30, 2023

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