Individual
MS. JOANNE L GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
275 KIENLE DR, PIQUA, OH 45356-4119
(937) 773-9346
(937) 773-9359
Mailing address
1427 MICHAEL DR, TROY, OH 45373-6601
(937) 332-7953
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP04890
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000361011
BLUE SHIELD
OH
05
—
2280535
—
OH
01
—
P00276437
RRMEDICARE
OH
Enumeration date
08/22/2006
Last updated
07/08/2007
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