Individual
CAROL V GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
18321 CLARK ST, TARZANA, CA 91356-3501
(818) 708-5242
(818) 508-5266
Mailing address
19441 ROMAR ST, NORTHRIDGE, CA 91324-1139
(818) 419-2329
(818) 886-2955
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
247536
CA
Other
Enumeration date
06/28/2005
Last updated
07/08/2007
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