Individual
DIANE GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1515 N MADISON AVE, ANDERSON, IN 46011-3453
(765) 298-4242
Mailing address
3624 S GADBURY RD, HARTFORD CITY, IN 47348-9740
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71015366A
IN
363LG0600X
Gerontology Nurse Practitioner
28209182A
IN
Other
Enumeration date
02/13/2024
Last updated
12/20/2024
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