Individual
MARY EVANS GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
685 KROMER AVE, BERWYN, PA 19312-1392
(109) 950-1006
(109) 950-4006
Mailing address
685 KROMER AVE, BERWYN, PA 19312-1392
(109) 950-1006
(109) 950-4006
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP013002
PA
Other
Enumeration date
07/31/2013
Last updated
05/27/2020
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