Gordon Greaves, PA

NPI 1699708131 · on the registry since 2006 · sole proprietor

Practice

Address: 15821 Allendale Rd
Wilder, ID 83676
Phone: (208) 278-2863
Fax: (208) 621-3128
Organisation at this address: Snake River Mental Health, Pllc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 363A00000X
363A00000X
Also registered as: 363A00000X
Psychiatric/Mental Health Nurse Practitioner
Licence states on file: CA, ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-04-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho