Organization
GREENE ANESTHESIA SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE GREENE (PRESIDENT)
(703) 869-3026
Entity
Organization
Contact information
Practice address
505 WOLFTRAP RD SE, VIENNA, VA 22180-4942
(703) 869-3026
Mailing address
505 WOLFTRAP RD SE, VIENNA, VA 22180-4942
(703) 869-3026
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024165063
VA
Other
Enumeration date
03/08/2014
Last updated
03/08/2014
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