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Individual
SUSAN Y GREENE
Active
Individual
SUSAN Y GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN11014784
FL
390200000X
Student in an Organized Health Care Education/Training Program
1-164648
AL
Other
Enumeration date
04/21/2021
Last updated
11/09/2022
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