Individual
DR. MAUREEN THERESE GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CNS, ACNP
Contact information
Practice address
1136 NORIDGE TRL, PORT WASHINGTON, WI 53074-1365
(262) 268-1328
Mailing address
1136 NORIDGE TRL, PORT WASHINGTON, WI 53074-1365
(262) 268-1328
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1698
WI
363LA2100X
Acute Care Nurse Practitioner
1698-33
WI
363LA2100X
Acute Care Nurse Practitioner
80002
WI
Other
Enumeration date
06/13/2006
Last updated
02/28/2023
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