Individual
GILLIAN GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11101 W LINCOLN AVE, WEST ALLIS, WI 53227-1133
(414) 203-4482
Mailing address
11101 W LINCOLN AVE, WEST ALLIS, WI 53227-1133
(414) 203-4482
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
20059430
WI
Other
Enumeration date
04/26/2015
Last updated
04/26/2015
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