Greenfield, Tennille

Greenfield, Tennille is an individual health care provider with primary practice located at 2720 N Harbor Blvd Ste 210 , Fullerton CA 92835-2626. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Greenfield, Tennille can be contacted via phone (714) 446-5192.

Contact Information

Primary practice address
2720 N Harbor Blvd Ste 210 Fullerton CA 92835-2626
Phone: (714) 446-5192
Fax: (714) 515-8360
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA17945 California
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA17945 California

Profile Details

NPI number 1265640734
LBN Legal business name Greenfield, Tennille
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2007
Last updated Nov 2nd, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265640734 NPPES
California Other PA17945 LICENSE

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