Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Psychiatric/Mental Health, Adult |
364SP0809X | 89 | Certified Clinical Nurse Specialist |
| NPI Number | 1336556513 |
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| LBN Legal business name | DEBORAH S GREENE APRN LLC | ||||||||
| Authorized official | DEBORAH GREENE - (OWNER) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 07/19/2014 | ||||||||
| Last updated | 07/19/2014 - About 12 years ago | ||||||||
| Identifiers |
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